Individual
DR. MICHELLE KAPLAN BASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5007 SADDLEBROOK DR, FAYETTEVILLE, NY 13066-9787
(315) 243-8025
Mailing address
5007 SADDLEBROOK DR, FAYETTEVILLE, NY 13066-9787
(315) 446-7572
(315) 446-5757
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004838
NY
Other
Enumeration date
10/19/2006
Last updated
07/19/2013
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