Individual
MR. FRED SLUTSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
214 ROUTE 59, SUFFERN, NY 10901-5205
(845) 357-4787
Mailing address
214 ROUTE 59, SUFFERN, NY 10901-5205
(845) 357-4787
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4592
NY
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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