Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251H1200X | Hand | 007843 | NY |
NPI | 1467467878 |
---|---|
Provider Name | Tracy Marie Doyle |
First Address | West Seneca, NY 14224-3051 |
Second Address | West Seneca, NY 14224-3051 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 11/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000069789 | GHI (01) | NY |
00010234801 | EXCELLUS/UNIVERA (01) | NY |
006061255 | BC/BS OF WNY (01) | NY |
112504100 | FEDERAL WCB (01) | NY |
9351841 | INDEPENDENT HEALTH (01) | NY |