Organization
JAN K. LIBERATORE
Active
Other names
J. K. Liberatore Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAN K. LIBERATORE (OWNER)
(607) 739-0325
Entity
Organization
Contact information
Practice address
2751 WESTINGHOUSE RD, HORSEHEADS, NY 14845-8100
(607) 739-0325
Mailing address
2751 WESTINGHOUSE RD, HORSEHEADS, NY 14845-8100
(607) 739-0325
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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