Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 143100 | NY |
N | 207YP0228X | Pediatric Otolaryngology | 143100 | NY |
NPI | 1851333892 |
---|---|
Provider Name | John F Stanievich |
First Address | Williamsville, NY 14221-5263 |
Second Address | Williamsville, NY 14221-5263 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2006 |
Last Update Date | 23/06/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000508067004 | BCBS OF WNY ID (01) | NY |
00052415002 | UNIVERA ID (01) | NY |
00607974 | (05) | NY |
1000417 | INDEPENDENT HEALTH ID (01) | NY |
B71649 | (02) | NY |
P00145049 | MEDICARE RAILROAD ID (01) | NY |