Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 180273-1 | NY |
NPI | 1013981836 |
---|---|
Provider Name | Saralyn Notaro-Rietz |
First Address | Buffalo, NY 14226-4463 |
Second Address | Buffalo, NY 14226-4463 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2006 |
Last Update Date | 10/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01713666 | (05) | NY |
F43646 | (02) | NY |