Individual
GREGORY LAURENCE LIVINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10501 S. RIVA RIDGE, FORT DRUM, NY 13602
(315) 772-2234
(315) 772-0700
Mailing address
10501 S. RIVA RIDGE, FORT DRUM, NY 13602
(315) 772-2234
(315) 772-0700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901004716
MI
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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