Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0129X | Vascular Surgeon | 182202 | NY |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 182202 | NY |
NPI | 1174513956 |
---|---|
Provider Name | Ralph Clement Darling III |
First Address | Albany, NY 12208-3797 |
Second Address | Albany, NY 12208-3412 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2005 |
Last Update Date | 19/09/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01240028 | (05) | NY |
E24118 | (02) |