Individual
DR. CHARLES JOSEPH HORNBERGER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3192 WALDEN AVE, DEPEW, NY 14043-2878
(716) 684-3124
Mailing address
3192 WALDEN AVE, DEPEW, NY 14043-2846
(716) 684-3124
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005695
NY
Other
Enumeration date
06/14/2005
Last updated
10/13/2011
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