Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 118829 | NY |
NPI | 1720188063 |
---|---|
Provider Name | Stanley Schwartz |
First Address | Buffalo, NY 14203-1126 |
Second Address | Buffalo, NY 14203-1126 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2006 |
Last Update Date | 23/11/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00010160801 | EXCELLUS UNIVERA (01) | NY |
005115361 | HEALTH NOW (01) | NY |
01375915 | (05) | NY |
0206904 | INDEPENDENT HEALTH (01) | NY |
D48784 | (02) | NY |