Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 008482-01 | NY |
NPI | 1508043068 |
---|---|
Provider Name | Regina Naples |
First Address | Buffalo, NY 14209-2111 |
Second Address | Buffalo, NY 14209-2111 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2008 |
Last Update Date | 12/11/2020 |