Individual
DR. GEORGE M MITSOGLOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
292 CORNELIA ST, BUILDING 2, PLATTSBURGH, NY 12901-2303
(518) 563-7400
Mailing address
36 CUMBERLAND AVE, PLATTSBURGH, NY 12901-1815
(518) 563-9258
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
U005623
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02301848
—
NY
Enumeration date
02/13/2006
Last updated
07/15/2014
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