Individual
MR. CHARLES DEMBOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
167 POLK ST., SUITE 200, WATERTOWN, NY 13601
(315) 786-0983
Mailing address
4 COMMERCE LANE, CANTON, NY 13617
(315) 386-8191
(315) 386-1410
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OV005520
NY
152W00000X
Optometrist
TUV005520
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01995615
—
NY
Enumeration date
05/24/2006
Last updated
07/08/2010
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