| |
622 Columbia Tpke, East Greenbush, NY 12061-2122 | |
(518) 477-8700 | |
(518) 477-8703 |
Full Name | |
---|---|
Type | Facility |
Speciality | Technician/technologist |
Location | 622 Columbia Tpke, East Greenbush, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497716245 | 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 | 622 Columbia Tpke, East Greenbush, NY 12061-2122 Ph: (518) 477-8700 |