Jennifer Rebecca Small O.D.

NPI 1053410183 - Optometrist - 152W00000X

NPI Details
NPI 1053410183
Gender Female
Enumeration Date 09/22/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2237 SARANAC AVE
LAKE PLACID NY, 12946-1185, US
Phone (518) 523-1530
Fax (518) 531-6831
Business Location
2237 SARANAC AVE
LAKE PLACID NY, 12946-1185, US
Phone (518) 523-1530
Fax (518) 531-6831
Toxanomy
Taxonomy Code 152W00000X
License State New York
License Number TUV006871
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According to our database, Dr. Jennifer Rebecca Small O.D. NPI is 1053410183, taxonomy code is 152W00000X and license number is TUV006871, license state is located at New York. Jennifer Rebecca Small O.D. physically located at 2237 Saranac Ave, Lake Placid NY, 12946-1185. NPI Number Jennifer Rebecca Small O.D. has the Individual type.

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1053410183 NPI number is provided on an as is basis without warranty of any kind. 1053410183 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Rebecca Small O.D. are for informational purposes only.