Individual
JEFFREY PAUL BUENAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
228 DELAWARE AVE, DELMAR, NY 12054-1244
(518) 439-7012
(518) 691-9277
Mailing address
228 DELAWARE AVE, DELMAR, NY 12054-1244
(518) 439-7012
(518) 691-9277
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
7194
NY
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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