Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 002697 | CT |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | TUV007056 | NY |
NPI | 1235145764 |
---|---|
Provider Name | Christine Jacqueline Kantor |
First Address | Greenwich, CT 06830-5300 |
Second Address | Greenwich, CT 06830-5300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 08/07/2007 |