Individual
KARL ROBERT LIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
H.I.S
Contact information
Practice address
11 BOICES LN, KINGSTON, NY 12401-1512
(845) 336-4738
Mailing address
1595 STATE HIGHWAY 67, JOHNSTOWN, NY 12095-4329
(315) 868-0178
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
14000040926
NY
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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