Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 252960 | NY |
NPI | 1285817841 |
---|---|
Provider Name | Roland Honeine |
First Address | Williamsville, NY 14221-8235 |
Second Address | Orchard Park, NY 14127-1842 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/12/2007 |
Last Update Date | 14/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02936285 | (05) | NY |