Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 14215 | RI |
Y | 207X00000X | Orthopaedic Surgeon | 274278 | NY |
N | 207X00000X | Orthopaedic Surgeon | PENDING | FL |
NPI | 1003071234 |
---|---|
Provider Name | Jeremy Paul Doak |
First Address | Williamsville, NY 14221-6755 |
Second Address | Amherst, NY 14226-2500 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2008 |
Last Update Date | 25/11/2014 |