Individual
MR. JOHN GADSBY BIRDSALL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPHTHALMIC DISPENSER
Contact information
Practice address
5811 COUNTY RT. 32, NORWICH, NY 13815
(607) 336-2020
(607) 336-1003
Mailing address
10 VINE ST., PO BOX 28, GILBERTSVILLE, NY 13776
(607) 783-2222
(607) 336-1003
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5008
NY
Other
Enumeration date
01/10/2007
Last updated
07/09/2007
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