Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 129878 | NY |
NPI | 1043249147 |
---|---|
Provider Name | Edward Steven Orris |
First Address | Albany, NY 12206-1056 |
Second Address | Albany, NY 12206-1056 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2006 |
Last Update Date | 18/07/2012 |