Individual
EDITA ABAZAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
550 HARRISON ST STE L, SYRACUSE, NY 13202-3188
(315) 464-5230
(315) 464-6663
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(585) 922-4315
(585) 922-5741
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009392
NY
Other
Enumeration date
07/22/2021
Last updated
08/24/2022
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