Individual
MRS. SUSAN E HALSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
205 LAKE AVE, SARATOGA SPRINGS, NY 12866-2628
(518) 584-6111
(518) 580-8589
Mailing address
205 LAKE AVE, SARATOGA SPRINGS, NY 12866-2628
(518) 584-6111
(518) 580-8589
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
0069071
NY
Other
Enumeration date
10/21/2006
Last updated
07/08/2007
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