Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 246703 | NY |
N | 111NI0900X | Internist | 246703 | NY |
Y | 207RH0003X | Hematology & Oncology | 246703 | NY |
NPI | 1073585055 |
---|---|
Provider Name | Todd J Whitman |
First Address | Plattsburgh, NY 12901-0259 |
Second Address | Plattsburgh, NY 12901-1438 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2006 |
Last Update Date | 10/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I34249 | (02) | NC |