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Organization
CHARLES F. JURACKA
Active
Organization
CHARLES F. JURACKA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES F JURACKA OPTICIAN (OWNER/OPTICIAN)
(518) 377-1283
Entity
Organization
Contact information
Practice address
604 UNION ST, SCHENECTADY, NY 12305-1503
(518) 377-1283
(518) 370-5058
Mailing address
604 UNION ST, SCHENECTADY, NY 12305-1503
(518) 377-1283
(518) 370-5058
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
C002465-1
NY
Other
Enumeration date
01/10/2008
Last updated
04/22/2008
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