Organization
FAZZARY EYE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHLEY B FAZZARY O.D. (OWNER)
(917) 499-9131
Entity
Organization
Contact information
Practice address
29 N FRANKLIN ST, WATKINS GLEN, NY 14891-1252
(917) 499-9131
Mailing address
2700 COUNTY ROAD 17, WATKINS GLEN, NY 14891-9401
(917) 499-9131
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007410
NY
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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