Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 144925 | NY |
NPI | 1811919988 |
---|---|
Provider Name | Julian Ambrus JR. |
First Address | Williamsville, NY 14221-5771 |
Second Address | Williamsville, NY 14221-5771 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/07/2006 |
Last Update Date | 06/04/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00010201501 | EXCELLUS UNIVERA (01) | NY |
005244241 | HEALTH NOW (01) | NY |
01679881 | (05) | NY |
2805362 | INDEPENDENT HEALTH (01) | NY |
D76875 | (02) | NY |