Individual
KIM DICKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
51 WOODRUFF ST, SARANAC LAKE, NY 12983-1715
(518) 891-8412
(518) 891-5396
Mailing address
51 WOODRUFF ST, SARANAC LAKE, NY 12983-1715
(518) 891-8412
(518) 891-5396
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
C006265-1
NY
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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