Organization
CNY MEDICAL AND SURGICAL EYE CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT W WEISENTHAL MD (PRESIDENT)
(315) 445-1577
Entity
Organization
Contact information
Practice address
5109 W GENESEE ST STE 102, CAMILLUS, NY 13031-2372
(315) 487-3937
(315) 488-3563
Mailing address
PO BOX 48, DE WITT, NY 13214-0048
(315) 510-3510
(315) 510-3469
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
008389-1
NY
332H00000X
Eyewear Supplier
Primary
008389-1
NY
Other
Enumeration date
06/06/2017
Last updated
07/21/2022
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