Individual
DR. EDWARD WARREN ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
BOSCOV'S OPTICAL, 422 CIFTON PARK CENTER ROAD, CLIFTON PARK, NY 12065
(518) 383-9838
Mailing address
PO BOX 11689, LOUDONVILLE, NY 12211-0689
(518) 368-6571
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005865
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10025383
CDPHP
NY
01
—
318340
MVP
NY
Enumeration date
10/25/2006
Last updated
07/08/2007
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