Individual
MR. ROBERT GIBSON BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1855 WESTERN AVE, ALBANY, NY 12203-5026
(518) 369-1421
Mailing address
20 BELDALE RD, SLINGERLANDS, NY 12159-9656
(518) 369-1421
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
14000043691
NY
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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