Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1100X | Ophthalmic | 6922 | NY |
NPI | 1275855520 |
---|---|
Provider Name | Gina Lee Sarow |
First Address | Akron, NY 14001-1239 |
Second Address | Akron, NY 14001-1239 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2010 |
Last Update Date | 26/02/2010 |