Individual
DEAN BRUMAGHIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
189 2ND AVE, GLOVERSVILLE, NY 12078-2510
(518) 725-3513
Mailing address
189 2ND AVE, GLOVERSVILLE, NY 12078-2510
(518) 725-3513
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008209-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0820170001
SENIOR BLUE
NY
Enumeration date
03/07/2007
Last updated
02/06/2008
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