Individual
CAROLYN M STOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 WOLF RD, ALBANY, NY 12205-1164
(518) 459-5602
(518) 459-5602
Mailing address
116 WOLF RD, ALBANY, NY 12205-1164
(518) 459-5602
(518) 459-9195
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
006014-1
NY
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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