Individual
DAVID JOHN AIDONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NYS OPTICIAN
Contact information
Practice address
980 E MAIN ST, STE2, COBLESKILL, NY 12043-5742
(518) 234-2020
(518) 234-0092
Mailing address
980 E MAIN ST, STE2, COBLESKILL, NY 12043-5742
(518) 234-2020
(518) 234-0092
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
006746
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000496936001
BS OF NENY
NY
01
—
C6683
EMPIRE PLAN
—
Enumeration date
12/05/2006
Last updated
07/09/2007
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