Individual
MR. HAN SONG BLACKMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4609 W GENESEE ST, SYRACUSE, NY 13219-1733
(315) 345-8004
(315) 295-2617
Mailing address
4609 W GENESEE ST, SYRACUSE, NY 13219-1733
(315) 345-8004
(315) 295-2617
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
55-006556
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376908095
BUSINESS
NY
Enumeration date
10/30/2015
Last updated
05/04/2026
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