Individual
MR. GLEN F. POMERANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
1636 ULSTER AVE., LAKE KATRINE, NY 12449
(845) 336-6310
Mailing address
79 MANOR RD., HUDSON VALLEY VISION CENTER INC., RED HOOK, NY 12571
(845) 336-6310
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
4084-1
NY
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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