Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 157599 | NY |
NPI | 1538242979 |
---|---|
Provider Name | James Springate |
First Address | Amherst, NY 14226-3803 |
Second Address | Buffalo, NY 14222-2006 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2006 |
Last Update Date | 30/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00010171201 | UNIVERA (01) | |
000510086001 | BC/BS (01) | |
0011087600001 | PA MEDICAID (01) | |
01045927 | (05) | NY |
040426000879 | FIDELIS (01) | |
4805892 | IHA (01) | |
E15465 | (02) |