Individual
MIRJETA ABAZAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
550 HARRISON ST STE L, SYRACUSE, NY 13202-3188
(315) 464-5253
(315) 464-6663
Mailing address
550 HARRISON ST STE L, SYRACUSE, NY 13202-3188
(315) 464-5253
(315) 464-6663
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008346
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518344365
NPI
NY
Enumeration date
04/30/2015
Last updated
08/29/2022
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