Individual
DR. JOSEPH HARGRAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
225 PORTAGE RD, LEWISTON, NY 14092-1700
(716) 754-8816
Mailing address
PO BOX 1146, LEWISTON, NY 14092-8146
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004999
NY
152WC0802X
Corneal and Contact Management Optometrist
TUV004999
NY
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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