Individual
HEATHER MARIE GAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICIAN
Contact information
Practice address
1462 ERIE BLVD STE A204, SCHENECTADY, NY 12305-1039
(518) 370-7040
(518) 370-4030
Mailing address
1462 ERIE BLVD STE A204, SCHENECTADY, NY 12305-1039
(518) 370-7040
(518) 370-4030
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008203-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02745146
—
NY
05
—
02745155
—
NY
Enumeration date
08/31/2006
Last updated
01/26/2023
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