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Individual

DR. GEORGE TEMPLETON ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
3455 VESTAL PKWY E, VESTAL, NY 13850-2147
(607) 722-2020
(607) 722-3937
Mailing address
3455 VESTAL PKWY E, VESTAL, NY 13850-2147
(607) 722-2020
(607) 722-3937

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV 003200
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00545368
NY
Enumeration date
08/28/2005
Last updated
12/08/2009
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