Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | 420756 | NY |
NPI | 1083767990 |
---|---|
Provider Name | Joanna Aghaie |
First Address | Rochester, NY 14605-2131 |
Second Address | Rochester, NY 14605-2131 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 09/02/2011 |