Individual
JEROME EARL BRISLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
577 DUTCH HILL RD, PARISH, NY 13131-3167
(315) 625-7533
(315) 625-7533
Mailing address
577 DUTCH HILL RD, PARISH, NY 13131-3167
(315) 625-7533
(315) 625-7533
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002464
NY
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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