Organization
RACHEL MURAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH D OSBORN (OPTICIAN)
(518) 371-0246
Entity
Organization
Contact information
Practice address
1789 ROUTE 9, CLIFTON PARK, NY 12065-2438
(518) 371-0246
(518) 383-9888
Mailing address
1789 ROUTE 9, CLIFTON PARK, NY 12065-2438
(518) 371-0246
(518) 383-9888
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
6910-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1172880001
DME SUPPLIER
NY
Enumeration date
08/23/2007
Last updated
12/10/2013
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