Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 0031101 | NY |
NPI | 1073692216 |
---|---|
Provider Name | Ms. Sharon Rae Helwig |
First Address | West Seneca, NY 14224 |
Second Address | West Seneca, NY 14224 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
NY3110 | EYEMED (01) | NY |