Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 55886 | KY |
N | 207RC0000X | Internist - Cardiovascular Disease | 55886 | KY |
NPI | 1518376706 |
---|---|
Provider Name | Maya Teresa Ignaszewski |
First Address | Syracuse, NY 13202-1676 |
Second Address | Lexington, KY 40536-2306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/08/2014 |
Last Update Date | 21/09/2021 |