Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | F342616-1 | NY |
NPI | 1003316266 |
---|---|
Provider Name | Ms. Veronica E Striffler |
First Address | Albany, NY 12206-1056 |
Second Address | Albany, NY 12206-1056 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2018 |
Last Update Date | 04/03/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F342616-1 | LICENSE (01) | NY |