Provider Demographics
NPI:1760039994
Name:EUGAIR, CHARITY A (MA)
Entity Type:Individual
Prefix:MS
First Name:CHARITY
Middle Name:A
Last Name:EUGAIR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3356 US ROUTE 7
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:VT
Mailing Address - Zip Code:05763-9305
Mailing Address - Country:US
Mailing Address - Phone:802-417-4086
Mailing Address - Fax:
Practice Address - Street 1:1 SCALE AVE
Practice Address - Street 2:
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4452
Practice Address - Country:US
Practice Address - Phone:802-417-4086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-22
Last Update Date:2019-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT097.0120572390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program