Individual
DR. BHAVITHRA UMAPATHISIVAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2421 VESTAL PKWY E STE 5, VESTAL, NY 13850-2066
(607) 217-5169
Mailing address
2421 VESTAL PKWY E STE 5, VESTAL, NY 13850-2066
(607) 217-5169
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008857
NY
Other
Enumeration date
08/06/2018
Last updated
08/06/2018
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