Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 193211 | NY |
N | 207RR0500X | Rheumatology | 193211 | NY |
NPI | 1134197387 |
---|---|
Provider Name | Emmanuel A Quaidoo |
First Address | Rochester, NY 14625-2661 |
Second Address | Rochester, NY 14618-3984 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 22/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G30936 | (02) |