SearchNew York156FX1800X

Raymond Klark, OPTICIAN

NPI 1639292535 · on the registry since 2007 · sole proprietor

Practice

Address
236 Pinewoods Ave
Tonawanda, NY 14150
Phone
(716) 836-1909
Fax
(716) 434-7809

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-09

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