Individual
ADRIAN MONTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6859 E GENESEE ST, FAYETTEVILLE, NY 13066-1086
(315) 251-2206
Mailing address
225 WILKINSON ST APT 316, SYRACUSE, NY 13204-2450
(651) 621-9126
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008641-1
NY
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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