Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 009701 | NY |
NPI | 1144981556 |
---|---|
Provider Name | Ammy Valoy |
First Address | Wonsocket, RI 02895 |
Second Address | Scarsdale, NY 10583-3211 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2022 |
Last Update Date | 07/01/2022 |