| |
54 The Crossings, Suite X & Y, Clifton Park, NY 12065-4180 | |
(518) 373-2200 | |
(518) 373-2350 |
Full Name | |
---|---|
Type | Facility |
Speciality | Technician/technologist |
Location | 54 The Crossings, Clifton Park, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922064419 | 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 |
---|---|
2921 Erie Blvd East, Syracuse, NY 13224-1430 Ph: (315) 446-3145 | 54 The Crossings, Suite X & Y, Clifton Park, NY 12065-4180 Ph: (518) 373-2200 |