Individual
DR. GARY L HANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
64 WEST ST, MALONE, NY 12953-1118
(518) 483-7222
(518) 483-7288
Mailing address
64 WEST ST, MALONE, NY 12953-1118
(518) 483-7222
(518) 483-7288
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003649-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00603883
—
NY
Enumeration date
02/07/2006
Last updated
07/08/2007
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