Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2082S0105X | Plastic Hand Surgeon | 1834301 | NY |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 1834301 | NY |
NPI | 1124014824 |
---|---|
Provider Name | Raymond Oconnell Schultz |
First Address | Williamsville, NY 14221-5411 |
Second Address | Williamsville, NY 14221-5411 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2005 |
Last Update Date | 23/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
240005927 | MEDICARE RAILROAD (01) | |
G67453 | (02) |