Individual
MR. KENNETH W MCNEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3662 THE PARK, CORTLAND, NY 13045-3324
(607) 753-7514
(607) 753-7515
Mailing address
3662 THE PARK, CORTLAND, NY 13045-3324
(607) 753-7514
(607) 753-7515
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4079
NY
332H00000X
Eyewear Supplier
4079
NY
Other
Enumeration date
12/26/2006
Last updated
08/19/2008
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