Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 224769 | NY |
NPI | 1104861178 |
---|---|
Provider Name | Stephen W Downing |
First Address | Buffalo, NY 14220-1700 |
Second Address | Buffalo, NY 14220-1700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 23/08/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
G28363 | (02) | NY |