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Organization

JOSEPH S HARGRAVE OD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOSEPH S. HARGRAVE O.D. (PRESIDENT)
(716) 754-8816
Entity
Organization

Contact information

Practice address
225 PORTAGE RD, LEWISTON, NY 14092-1700
(716) 754-8816
(716) 754-8986
Mailing address
PO BOX 1146, LEWISTON, NY 14092-8146
(716) 754-4405

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004999
NY

Other

Enumeration date
05/21/2006
Last updated
05/05/2010
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