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Ethan Boryszak, O.D
NPI 1124060751 · on the registry since 2006 · sole proprietor
Practice
- Address
- 5683 S Transit Rd
Lockport, NY 14094 - Phone
- (716) 631-3860
- Organisation at this address
- Licata Optical Co. Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Optometrist
152W00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-10-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York