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Organization

OHLBAUM & WATERMAN EYE ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL WATERMAN OD (OPTOMETRIST)
(315) 797-9091
Entity
Organization

Contact information

Practice address
1 PARIS RD, NEW HARTFORD, NY 13413-2350
(315) 797-9091
(315) 797-9124
Mailing address
1 PARIS ROAD, NEW HARTFORD, NY 13413
(315) 797-9091
(315) 797-9124

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT005259
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01543695
NY
Enumeration date
08/15/2006
Last updated
06/11/2009
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