Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | 051392-1 | NY |
NPI | 1013022888 |
---|---|
Provider Name | Francis Patrick O'day |
First Address | Tonawanda, NY 14223-1905 |
Second Address | Tonawanda, NY 14223-1905 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 06/11/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
VO8520 | (02) | NY |