Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | 258144 | NY |
NPI | 1154651255 |
---|---|
Provider Name | Kristina Bradfield-Mcgee |
First Address | Buffalo, NY 14203-1009 |
Second Address | Buffalo, NY 14203-1021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2010 |
Last Update Date | 13/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03585206 | (05) | NY |