Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 263357 | NY |
Y | 111NI0900X | Internist | 263357 | NY |
N | 207U00000X | Nuclear Medicine Specialist | 67804 | GA |
N | 208D00000X | General Practice Physician | 67804 | NY |
NPI | 1104026905 |
---|---|
Provider Name | Razia Sultana |
First Address | Amherst, NY 14226-2547 |
Second Address | Amherst, NY 14226-2547 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2007 |
Last Update Date | 27/01/2015 |