Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 166732 | NY |
N | 207R00000X | Internist | 166732 | NY |
N | 111NI0900X | Internist | 166732 | NY |
NPI | 1730266123 |
---|---|
Provider Name | Judith A Setla |
First Address | Liverpool, NY 13088-3148 |
Second Address | Liverpool, NY 13088-3148 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 25/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B82860 | (02) |