Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 284414 | NY |
N | 111NI0900X | Internist | 284414 | NY |
Y | 207RA0201X | Internist - Allergy & Immunology | 284414 | NY |
NPI | 1720370869 |
---|---|
Provider Name | Vathani Sharon Packianathan |
First Address | Williamsville, NY 14221-5726 |
Second Address | New York, NY 10019 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2011 |
Last Update Date | 14/12/2018 |