Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 287527 | NY |
N | 2086X0206X | Surgical Oncologist | Q0154 | TX |
NPI | 1033348891 |
---|---|
Provider Name | Peter Anthony Prieto |
First Address | Rochester, NY 14642 |
Second Address | Rochester, NY 14642-4009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2009 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
336769001 | (05) | TX |