Individual
DR. BRANDON BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
69 W 14TH ST, NEW YORK, NY 10011-7417
(212) 741-2728
Mailing address
69 W 14TH ST, NEW YORK, NY 10011-7417
(212) 741-2728
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006767
NY
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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