Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 252405 | NY |
NPI | 1003925215 |
---|---|
Provider Name | Dr. Yana Veyberman Ignatovich |
First Address | Rochester, NY 14626-3919 |
Second Address | Rochester, NY 14626-3919 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 25/10/2010 |