Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 008858-1 | NY |
NPI | 1174785349 |
---|---|
Provider Name | Ms. Heather C Christman |
First Address | Cohoes, NY 12047-2542 |
Second Address | Albany, NY 12203-5367 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2008 |
Last Update Date | 30/06/2008 |