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Individual

DR. BOHDAN JEMETZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
106 E STATE ST, ITHACA, NY 14850-5542
(607) 272-7441
Mailing address
2941 WARNERS RD, WARNERS, NY 13164-9761

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005591-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
TUV005591-1
NYS OPTOMETRIC LICENSE #
NY
Enumeration date
12/06/2006
Last updated
06/19/2015
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