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Individual

TAYLOR CHAMPAGNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
767 TROY SCHENECTADY RD # 1, LATHAM, NY 12110-2446
(518) 690-7020
Mailing address
767 TROY SCHENECTADY RD, LATHAM, NY 12110-2446
(518) 917-9555

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009879-01
NY

Other

Enumeration date
08/10/2023
Last updated
03/23/2026
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