Individual
MARY JOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
42 3RD ST, TROY, NY 12180-3906
(518) 274-8181
(518) 272-8164
Mailing address
14 ELM ST, COHOES, NY 12047-2318
(518) 235-5959
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008803-1
NY
Other
Enumeration date
09/22/2009
Last updated
09/22/2009
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