Individual
MRS. COLLEEN MARY KAULFUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
450 MARGARET ST, PLATTSBURGH, NY 12901-1755
(518) 566-2020
Mailing address
246 RABIDEAU ST, CADYVILLE, NY 12918-2710
(518) 293-6460
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5232
NY
Other
Enumeration date
04/09/2007
Last updated
07/08/2007
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