Organization
MILLBROOK FAMILY EYECARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA KRALL (OWNER)
(845) 677-5012
Entity
Organization
Contact information
Practice address
61 FRONT ST, MILLBROOK, NY 12545-5961
(845) 677-5012
(845) 677-5024
Mailing address
61 FRONT ST, P.O. BOX 570, MILLBROOK, NY 12545-5961
(845) 677-5012
(845) 677-5024
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03372887
—
NY
Enumeration date
08/15/2011
Last updated
11/08/2011
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