Individual
DR. MISSY A BLOWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
122 TRINITY PL, SELKIRK, NY 12158-8706
(518) 459-5397
Mailing address
122 TRINITY PL, SELKIRK, NY 12158-8706
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005693-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00419426
RAILROAD MEDICARE
NY
Enumeration date
07/04/2006
Last updated
07/01/2009
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