Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 220800 | NY |
N | 111NI0900X | Internist | 220800 | NY |
Y | 207RR0500X | Rheumatology | 220800 | NY |
NPI | 1033147079 |
---|---|
Provider Name | Meribeth A Ogrinc |
First Address | Syracuse, NY 13210-2306 |
Second Address | Syracuse, NY 13202-2240 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2006 |
Last Update Date | 06/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A10097 | (02) |