| |
820 Route 9, Suite #1308, Queensbury, NY 12804-1749 | |
(518) 745-1200 | |
(518) 745-8441 |
Full Name | |
---|---|
Type | Facility |
Speciality | Technician/technologist |
Location | 820 Route 9, Queensbury, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023074507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
156F00000X | Technician/technologist | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
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2921 Erie Blvd East, Syracuse, NY 13224-1430 Ph: (315) 446-3145 | 820 Route 9, Suite #1308, Queensbury, NY 12804-1749 Ph: (518) 745-1200 |