| |
18 Riverside Drive, Canton, NY 13617 | |
(315) 379-0939 | |
(315) 379-0813 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 18 Riverside Drive, Canton, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891830311 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | T0037851 (New York) | Primary |
Mailing Address | Practice Location Address |
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18 Riverside Drive, Canton, NY 13617 Ph: (315) 379-0939 | 18 Riverside Drive, Canton, NY 13617 Ph: (315) 379-0939 |
Dr. Adam David Jaffe, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 123 Main St, Canton, NY 13617 Phone: 315-386-8811 |