Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0002X | Hospice and Palliative Medicine | 097268 | NY |
Y | 207RH0003X | Hematology & Oncology | 097268 | NY |
NPI | 1255353801 |
---|---|
Provider Name | Dr. Yoshiro Matsuo |
First Address | Oneonta, NY 13820 |
Second Address | Oneonta, NY 13820 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 30/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00279098 | (05) | NY |
B82023 | (02) |