Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 008789-1 | NY |
NPI | 1184163776 |
---|---|
Provider Name | Mrs. Cindy Joan Gold |
First Address | Rochester, NY 14621-2731 |
Second Address | Rochester, NY 14621-2731 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/02/2017 |
Last Update Date | 16/02/2017 |