Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 172434-1 | NY |
NPI | 1700838133 |
---|---|
Provider Name | Helen M Evrard |
First Address | Amherst, NY 14228-2041 |
Second Address | Amherst, NY 14228-2041 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/05/2006 |
Last Update Date | 21/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00026942001 | UNIVERA (01) | NY |
000527979001 | BLUE CROSS TRADITIONAL (01) | NY |
0212724 | INDEPENDENT HEALTH (01) | NY |
E55859 | (02) | NY |