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Individual

ELIAS S. ABBOUD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1304 BUCKLEY RD, STE 205, SYRACUSE, NY 13212-4317
(315) 458-2020
(315) 458-6522
Mailing address
5100 W TAFT RD, STE 3L, LIVERPOOL, NY 13088-3809
(315) 452-2211
(315) 452-2231

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
005077-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02221630
NY
Enumeration date
11/07/2005
Last updated
05/24/2017
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