Individual
DR. RONALD H POULIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
94 MAIN ST, CAMDEN, NY 13316-1320
(315) 245-2443
(315) 245-1060
Mailing address
2471 STATE ROUTE 69, CAMDEN, NY 13316-3728
(315) 245-2443
(315) 245-1060
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT003386
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000555995
—
NY
Enumeration date
10/24/2005
Last updated
04/05/2022
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