Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CX0006X | Orientation and Mobility Training Provider |
NPI | 1891058798 |
---|---|
Provider Name | Mrs. Erin Lwkd Kavanagh |
First Address | Binghamton, NY 13901-3514 |
Second Address | Binghamton, NY 13901-3514 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2012 |
Last Update Date | 17/06/2012 |