Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | F309736-01 | NY |
NPI | 1124638655 |
---|---|
Provider Name | Mr. Christopher James Dowd |
First Address | Buffalo, NY 14214-1254 |
Second Address | Buffalo, NY 14220-2039 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/08/2020 |
Last Update Date | 10/08/2020 |