Individual
BARBARA GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
346 ST.REGIS ROAD, AKWESASNE, NY 13655
(518) 358-2864
Mailing address
PO BOX 313, AKWESASNE, NY 13655-0313
(518) 358-2864
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C005043-1
NY
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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