Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 050656 | NY |
NPI | 1023197456 |
---|---|
Provider Name | Dr. Vladimir Frias |
First Address | Buffalo, NY 14263-0001 |
Second Address | Buffa;p, NY 14263 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2006 |
Last Update Date | 07/01/2021 |