Individual
COLLEEN FOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1122 MOHAWK ST, UTICA, NY 13501-3751
(315) 235-0204
Mailing address
1122 MOHAWK ST, UTICA, NY 13501-3751
(315) 235-0204
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
060625
NY
Other
Enumeration date
07/22/2015
Last updated
03/24/2023
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