Individual
MARY RAWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
800 LONDON ROAD, LATHAM, NY 12185
(518) 782-0672
(518) 785-0503
Mailing address
800 LONDON ROAD, LATHAM, NY 12185
(518) 782-0672
(518) 785-0503
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008183-1
NY
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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