Individual
EILEEN C KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28650 STATE HIGHWAY 23, STAMFORD, NY 12167-1712
(607) 652-2537
(607) 652-2719
Mailing address
PO BOX 725, COOPERSTOWN, NY 13326-0725
(607) 652-2537
(607) 652-2719
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003419
NY
Other
Enumeration date
05/20/2006
Last updated
11/26/2008
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