Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 171634 | NY |
NPI | 1134207582 |
---|---|
Provider Name | Lou Ann Gartner |
First Address | Amherst, NY 14226-3822 |
Second Address | Buffalo, NY 14222-2006 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 22/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00010293201 | UNIVERA (01) | NY |
000524607001 | BC/BS (01) | NY |
0016896770001 | PA MEDICAID (01) | NY |
01078317 | (05) | NY |
040426001274 | FIDELIS (01) | NY |
4508512 | IHA (01) | NY |
G68691 | (02) |