Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 300263 | NY |
NPI | 1003985110 |
---|---|
Provider Name | Ms. Zena Sondra Hyman |
First Address | Williamsville, NY 14221-1715 |
Second Address | Buffalo, NY 14215-3021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 08/07/2007 |