Individual
STACEY MARIE RITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
713 TROY SCHENECTADY ROAD, SUITE 135, LATHAM, NY 12110
(518) 782-7827
Mailing address
713 TROY SCHENECTADY ROAD, SUITE 135, LATHAM, NY 12110
(518) 782-7827
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006701
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02649741
—
NY
Enumeration date
03/24/2006
Last updated
01/23/2017
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