Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 206152 | NY |
NPI | 1003887811 |
---|---|
Provider Name | Paul M Anain |
First Address | Buffalo, NY 14214 |
Second Address | Buffalo, NY 14214 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2006 |
Last Update Date | 23/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01981933 | (05) | NY |
CC0514 | (02) | NY |
H07155 | (02) | NY |