Individual
BERNADETTE MARGARET MASHTARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
25 CONSUMER SQUARE, PLATTSBURGH, NY 12901
(518) 566-8096
(518) 566-0085
Mailing address
25 CONSUMER SQUARE, PLATTSBURGH, NY 12901
(518) 566-8096
(518) 566-0085
Taxonomy
Speciality
Code
Description
License number
State
156FX1202X
Optometric Technician
Primary
5749-1
NY
Other
Enumeration date
12/03/2009
Last updated
12/03/2009
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