Organization
COXSAKIE OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY CORNELL (OWNER)
(518) 731-7803
Entity
Organization
Contact information
Practice address
11877 RT 9W, SUITE 2, WEST COXSACKIE, NY 12192-1302
(518) 731-7803
Mailing address
11877 RT 9W, SUITE 2, WEST COXSACKIE, NY 12192-1302
(518) 731-7803
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4744
NY
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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