Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207P00000X | Emergency Physician | 33956 | WI |
N | 207PE0004X | Emergency Medical Services | 036094967 | IL |
N | 207PE0004X | Emergency Medical Services | 139319 | NY |
NPI | 1023158771 |
---|---|
Provider Name | Milton L Pozo |
First Address | Orchard Park, NY 14127-1732 |
Second Address | Orchard Park, NY 14127-1732 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2007 |
Last Update Date | 25/06/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B19578 | (02) |