| |
2080 Western Avenue, Suite 140, Guilderlands, NY 12084-9564 | |
(518) 862-4280 | |
(518) 862-5264 |
Full Name | |
---|---|
Type | Facility |
Speciality | Technician/technologist |
Location | 2080 Western Avenue, Guilderlands, 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 |
---|---|---|---|
1285697953 | 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 | 2080 Western Avenue, Suite 140, Guilderlands, NY 12084-9564 Ph: (518) 862-4280 |