Provider Demographics
NPI:1588987390
Name:WOODSINGER, LAUREL PATRICIA
Entity type:Individual
Prefix:DR
First Name:LAUREL
Middle Name:PATRICIA
Last Name:WOODSINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 AITCHISON RD
Mailing Address - Street 2:
Mailing Address - City:BINGHAMTON
Mailing Address - State:NY
Mailing Address - Zip Code:13905-6048
Mailing Address - Country:US
Mailing Address - Phone:607-725-4896
Mailing Address - Fax:
Practice Address - Street 1:157 ROBINSON ST
Practice Address - Street 2:
Practice Address - City:BINGHAMTON
Practice Address - State:NY
Practice Address - Zip Code:13904-1531
Practice Address - Country:US
Practice Address - Phone:607-722-4976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-08
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053272183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist