Individual
MRS. SANDRA L UPCRAFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPHTHALMIC DISPENSER
Contact information
Practice address
1818 STATE ROUTE 3 STE A, FULTON, NY 13069-1567
(315) 598-1668
(315) 598-1671
Mailing address
1818 STATE ROUTE 3 STE A, FULTON, NY 13069-1567
(315) 598-1668
(315) 598-1671
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008232-01
NY
Other
Enumeration date
09/21/2024
Last updated
09/21/2024
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