Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 244201 | NY |
NPI | 1578783114 |
---|---|
Provider Name | Marie-Caroline Piche |
First Address | Malone, NY 12953-3603 |
Second Address | Malone, NY 12953-1220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2007 |
Last Update Date | 26/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
RB5502 | ALICE HYDE MEDICAL CENTER (01) | NY |