Individual
LOGAN GRAY DARKHOLME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
368 BROADWAY, STE 201, KINGSTON, NY 12401-5160
(845) 768-0232
Mailing address
368 BROADWAY, STE 201, KINGSTON, NY 12401-5160
(845) 768-0232
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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