Individual
DR. DOUGLAS AHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 RHOADS DR., UTICA, NY 13502
(315) 738-7883
(315) 738-0347
Mailing address
6 RHOADS DR., UTICA, NY 13502
(315) 738-7883
(315) 738-0347
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
229831
NY
207Q00000X
Family Medicine Physician
Primary
229831-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02614184
—
NY
Enumeration date
12/05/2006
Last updated
03/24/2010
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