Individual
DALE PAYNTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3401 ERIE BLVD E, DE WITT, NY 13214-1635
(315) 446-4446
Mailing address
5 GRAY FOX LN, ALBANY, NY 12203-5332
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008230
NY
Other
Enumeration date
09/25/2014
Last updated
09/25/2014
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