Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | F380350-1 | NY |
NPI | 1013946912 |
---|---|
Provider Name | Rachel Spector |
First Address | Buffalo, NY 14210-2220 |
Second Address | Buffalo, NY 14210-2220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 03/08/2011 |