Individual
MICHAEL BARKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
20823 NYS RTE 3, WATERTOWN, NY 13601
(315) 788-1570
(315) 788-0910
Mailing address
20823 NYS RTE 3, WATERTOWN, NY 13601
(315) 788-1570
(315) 788-0910
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007903
NY
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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