Individual
DR. RICHARD CHRISTIAN MALARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
8395 OSWEGO RD, KIMBROOK VILLAGE SQUARE, BALDWINSVILLE, NY 13027-6801
(315) 622-3500
(315) 622-3522
Mailing address
8395 OSWEGO RD, BALDWINSVILLE, NY 13027-6801
(315) 622-3500
(315) 622-3522
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TU005325-1
NY
152WC0802X
Corneal and Contact Management Optometrist
Primary
TU005325-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1336346550
CORPORATE NPI
NY
01
—
1386634210
INDIVIDUAL NPI
NY
Enumeration date
10/22/2005
Last updated
06/10/2011
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