Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 267125 | NY |
N | 207K00000X | Allergist & Immunologist | MD441054 | PA |
N | 2080P0201X | Pediatric Allergist | 267125 | NY |
NPI | 1407108608 |
---|---|
Provider Name | Shivani Rasalingam |
First Address | Williamsville, NY 14221-8235 |
Second Address | Orchard Park, NY 14127-1842 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/10/2012 |
Last Update Date | 08/12/2021 |