Individual
BETHANY PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
65 WOLF RD STE 105, COLONIE, NY 12205-2621
(518) 704-6580
Mailing address
65 WOLF RD STE 105, COLONIE, NY 12205-2621
(518) 704-6580
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
06/18/2020
Last updated
06/18/2020
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