Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 306342 | NY |
NPI | 1003155912 |
---|---|
Provider Name | Natalia Gyorke |
First Address | Albany, NY 12205-1447 |
Second Address | Albany, NY 12205-1447 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/02/2013 |
Last Update Date | 13/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
306342 | LICENSE (01) | NY |