Individual
MR. JOSEPH OSBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPHTHALMIC DISPENSER
Contact information
Practice address
1789 ROUTE 9, CLIFTON PARK, NY 12065-2438
(518) 371-0246
(518) 383-9888
Mailing address
49 ROUTE 67, MECHANICVILLE, NY 12118-3209
(518) 541-2788
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
006910-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1172880001
DME SUPPLIER
NY
Enumeration date
03/30/2007
Last updated
02/12/2008
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