Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0202X | Pediatric Cardiologist | 130617 | NY |
NPI | 1033296314 |
---|---|
Provider Name | Rae Ellen Kavey |
First Address | Rochester, NY 14642-2978 |
Second Address | Rochester, NY 14642-2978 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 24/02/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E78960 | (02) |