Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 009437-1 | NY |
NPI | 1194259283 |
---|---|
Provider Name | Anne Marie Post-Regan |
First Address | Glendale, NY 11385-6503 |
Second Address | Queens Village, NY 11427-2806 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2017 |
Last Update Date | 14/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009437 | OPTHALMIC DISPENSER (01) | NY |