Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 0009721 | NY |
NPI | 1013010867 |
---|---|
Provider Name | Kapriel Danadian |
First Address | Oneida, NY 13421-2440 |
Second Address | Oneida, NY 13421-2440 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/09/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02023563 | (05) | NY |