Individual
SHANAE CORREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
601 FRANK SOTTILE BLVD, KINGSTON, NY 12401-1550
(845) 336-2058
(845) 336-2304
Mailing address
2954 STATE ROUTE 32, KINGSTON, NY 12401-8654
(845) 913-6780
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009769-01
NY
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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