Individual
BRUCE C. MINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
117 E UNION ST, NEWARK, NY 14513-1503
(315) 331-7917
(315) 331-7917
Mailing address
236 STATE ROUTE 88 S, NEWARK, NY 14513-9140
(315) 331-2647
(315) 331-7917
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
004325
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01782094
—
NY
Enumeration date
07/12/2006
Last updated
07/09/2007
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