Organization
PLAZA OPTICAL OF MONROE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL HOWARD UTNICK OPTICIAN (OPTICIAN/OWNER)
(845) 783-4400
Entity
Organization
Contact information
Practice address
475 STATE ROUTE 17M, MONROE, NY 10950-4169
(845) 783-4400
(845) 782-4041
Mailing address
475 STATE ROUTE 17M, MONROE, NY 10950-4169
(845) 783-4400
(845) 782-4041
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
T3937
NY
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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