Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207L00000X | Anesthesiologist | 25MA09518200 | NJ |
NPI | 1013210574 |
---|---|
Provider Name | Ms. Amita Kundra |
First Address | Buffalo, NY 14209-2253 |
Second Address | Buffalo, NY 14209-2253 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2010 |
Last Update Date | 22/07/2014 |