Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | 63489 | CT |
NPI | 1093125031 |
---|---|
Provider Name | Mary Snayd |
First Address | Farmington, CT 06030-8082 |
Second Address | Farmington, CT 06030-2631 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2014 |
Last Update Date | 19/07/2019 |