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Individual

HEATHER COX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
105 9TH ST UNIT 20, WATKINS GLEN, NY 14891-1435
(607) 535-6424
(607) 535-6423
Mailing address
105 9TH ST UNIT 20, WATKINS GLEN, NY 14891-1435
(607) 535-6424
(607) 535-6423

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
565500
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
565500
NY
Enumeration date
10/27/2015
Last updated
10/27/2015
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