Individual
PALAK BUTALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2965 SHERIDAN DR, TONAWANDA, NY 14150-9418
(716) 262-9297
Mailing address
3095 HARLEM RD, CHEEKTOWAGA, NY 14225-2500
(716) 896-8831
(716) 896-2318
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008339
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TUV008339
NEW YORK STATE LICENSE NUMBER
NY
Enumeration date
07/14/2015
Last updated
04/19/2016
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