Organization
GERALD V HARRELL OD PC PROFESSIONAL CORPORATION NYS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD VICTOR HARRELL OD (PRESIDENT OPTOMETRIST)
(518) 563-2430
Entity
Organization
Contact information
Practice address
70 COURT STREET, PLATTSBURGH, NY 12901-2832
(518) 563-2430
(518) 563-2474
Mailing address
70 COURT STREET, PLATTSBURGH, NY 12901-2832
(518) 563-2430
(518) 563-2474
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T0026841
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00623405
—
NY
Enumeration date
12/01/2006
Last updated
08/22/2020
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