Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 179625 | NY |
NPI | 1154361442 |
---|---|
Provider Name | Dr. Thomas R Adler |
First Address | Rochester, NY 14626-5112 |
Second Address | Rochester, NY 14626-5112 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2006 |
Last Update Date | 23/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C92069 | (02) | NY |