Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | T0041301 | NY |
NPI | 1003884495 |
---|---|
Provider Name | Mrs. Cynthia Lee Hauschild |
First Address | Skaneateles, NY 13152 |
Second Address | Auburn, NY 13021 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U32576 | (02) |