Individual
FREDERICK GERALD BOHNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
24 REIDS GRV, W HENRIETTA, NY 14586-9653
(585) 243-4004
(585) 243-4009
Mailing address
24 REIDS GRV, W HENRIETTA, NY 14586-9653
(585) 243-4004
(585) 243-4009
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C008464-1
NY
156FX1800X
Optician
COO8464-1
NY
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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