Organization
AFCORNELL OPTICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY CORNELL (OWNER)
(518) 756-3135
Entity
Organization
Contact information
Practice address
ROUTE 9W FAITH PLAZA, RAVENA, NY 12143
(518) 756-3135
(518) 756-2258
Mailing address
ROUTE 9W FAITH PLAZA, RAVENA, NY 12143
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4607
NY
156FX1800X
Optician
Primary
004744-1
NY
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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