Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207ZP0102X | Pathology | Anatomic Pathology & Clinical Pathology | 227790 | NEW YORK | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 00026388904 | OTHER | NEW YORK | UNIVERA MAIN |
| 2 | 5098769 | OTHER | NEW YORK | GHI MAIN |
| 3 | 000527319007 | OTHER | NEW YORK | BCBS OF WNY UAR |
| 4 | RB0099 | MEDICARE ID-TYPE UNSPECIFIED | NEW YORK | MAIN UROLOGY |
| 5 | 041015000034 | OTHER | NEW YORK | FIDELIS WNYUA |
| 6 | 000527319003 | OTHER | NEW MEXICO | BCBS OF WNY WNYUA |
| 7 | 00026388902 | OTHER | NEW YORK | UNIVERA WNYUA |
| 8 | RA9189 | MEDICARE ID-TYPE UNSPECIFIED | NEW YORK | UAR |
| 9 | RA1384 | MEDICARE ID-TYPE UNSPECIFIED | NEW YORK | WNYUA NORTH |
| 10 | 1111653 | OTHER | NEW YORK | IHA ALL |
| 11 | 000527319008 | OTHER | NEW MEXICO | BCBS OF WNY MAIN |
| 12 | 00026388905 | OTHER | NEW YORK | UNIVERA UAR |
| 13 | 02429578 | MEDICAID | NEW YORK | |
| 14 | 5099083 | OTHER | NEW YORK | GHI WNYUA |
| 15 | 5098730 | OTHER | NEW YORK | GHI UAR |
| 16 | F46732 | MEDICARE UPIN | NEW YORK | |
| 17 | DD5953 | MEDICARE ID-TYPE UNSPECIFIED | NEW YORK | |
| 18 | P00134137 | MEDICARE ID-TYPE UNSPECIFIED | NEW YORK | RR MEDICARE WNYUA |
| 19 | 061124000076 | OTHER | NEW YORK | FIDELIS MAIN |
| 20 | RA2096 | MEDICARE ID-TYPE UNSPECIFIED | NEW YORK | WNYUA SOUTH |
