Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 002497 | NY |
NPI | 1023119732 |
---|---|
Provider Name | Sanjivini Wadhwa |
First Address | Buffalo, NY 14215-3021 |
Second Address | Buffalo, NY 14215-3021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 04/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00027390201 | EXCELLUS UNIVERA (01) | NY |
000528317001 | HEALTH NOW (01) | NY |
02724876 | (05) | NY |
3413054 | INDEPENDENT HEALTH (01) | NY |
H38705 | (02) | NY |