Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 310624-01 | NY |
Y | 111NI0900X | Internist | 310624-01 | NY |
NPI | 1003302910 |
---|---|
Provider Name | Maria Kontos |
First Address | Williamsville, NY 14221-8235 |
Second Address | Williamsville, NY 14221-8243 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2018 |
Last Update Date | 20/12/2021 |