Individual
PATRICIA MARY EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICIAN
Contact information
Practice address
25 ELM STREET, SUITE 3, WARWICK, NY 10990
(845) 987-7333
(845) 986-9040
Mailing address
25 ELM STREET, SUITE 3, WARWICK, NY 10990
(845) 987-7333
(845) 986-9040
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
010526-01
NY
Other
Enumeration date
12/20/2023
Last updated
12/20/2023
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