Individual
HEATHER M BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
389 FAIRVIEW AVE, HUDSON, NY 12534-1222
(518) 822-9060
(518) 822-9062
Mailing address
389 FAIRVIEW AVE, HUDSON, NY 12534-1222
(518) 822-9060
(518) 822-9062
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008662-1
NY
Other
Enumeration date
03/09/2010
Last updated
05/11/2010
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