Individual
DR. JENNIFER REBECCA SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2237 SARANAC AVE, LAKE PLACID, NY 12946-1185
(518) 523-1530
(518) 531-6831
Mailing address
2237 SARANAC AVE, LAKE PLACID, NY 12946-1185
(518) 523-1530
(518) 531-6831
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006871
NY
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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