Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | 192743-1 | NY |
N | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 192743 | NY |
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 192743-1 | NY |
NPI | 1063477404 |
---|---|
Provider Name | Marc H Eigg |
First Address | Rochester, NY 14626 |
Second Address | Webster, NY 14580 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 29/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G31484 | (02) | NY |