Individual
COLEEN KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
830 HOOSICK RD, TROY, NY 12180-6665
(518) 274-5559
(518) 677-1129
Mailing address
9 FIET AVE, TROY, NY 12180-6715
(518) 785-4674
(518) 677-1129
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007230-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NY7230
EYEMED
NY
Enumeration date
12/19/2008
Last updated
01/26/2011
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