Organization
NEW HARTFORD OPTOMETRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WATERMAN OD (OWNER)
(315) 797-9091
Entity
Organization
Contact information
Practice address
8374 SENECA TPKE, NEW HARTFORD, NY 13413-4956
(315) 797-9091
Mailing address
8374 SENECA TPKE, NEW HARTFORD, NY 13413-4956
(315) 797-9091
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV 005040
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01140023
—
NY
Enumeration date
07/09/2009
Last updated
09/17/2014
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