Organization
JEROME E BRISLIN OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME E BRISLIN OD (OWNER)
(315) 625-7533
Entity
Organization
Contact information
Practice address
1294 UPPER LENOX AVE, ONEIDA, NY 13421-2681
(315) 361-4050
Mailing address
8251 NEW FLOYD RD, ROME, NY 13440-0553
(315) 865-4299
(315) 865-6359
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002464
NY
Other
Enumeration date
09/03/2008
Last updated
09/03/2008
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