Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 177386 | NY |
Y | 207PP0204X | Pediatric Emergency Physician | 177386 | NY |
N | 208000000X | Pediatrician | 177386 | NY |
NPI | 1457372203 |
---|---|
Provider Name | Robin Dawson |
First Address | Rochester, NY 14642-0001 |
Second Address | Rochester, NY 14642-0001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2006 |
Last Update Date | 22/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01747084 | (05) | NY |
F32357 | (02) | NY |