Organization
JEROME E BRISLIN, O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEROME E BRISLIN O. D. (PRESIDENT)
(315) 625-7533
Entity
Organization
Contact information
Practice address
577 DUTCH HILL RD, PARISH, NY 13131-3167
(315) 625-7533
(351) 625-7533
Mailing address
577 DUTCH HILL RD, PARISH, NY 13131-3167
(315) 625-7533
(351) 625-7533
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002464
NY
Other
Enumeration date
03/13/2007
Last updated
04/20/2008
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