Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 241987 | NY |
Y | 2080P0205X | Pediatric Endocrinologist | 241987 | NY |
NPI | 1316077878 |
---|---|
Provider Name | Nadezhda Danilovich |
First Address | Batavia, NY 14020-9621 |
Second Address | Batavia, NY 14020 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/03/2007 |
Last Update Date | 02/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00028021701 | UNIVERA HEALTHCARE (01) | NY |
000529154001 | BLUE CROSS (01) | NY |
02852904 | (05) | NY |
1214181 | INDEPENDENT HEALTH (01) | NY |