Thomas Tarasovich
Thomas Tarasovich is an Optician in Latham, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2017
Practice location Address checks out
1207 Troy Schenectady Rd Ste 102Latham, NY 12110-1003
Phone: (518) 213-4468
Fax: (518) 213-4471
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence C04068-1 (NY) |
|---|
Record details
| NPI number | 1609302538 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 11, 2017 |
| Last updated in NPPES | May 11, 2017 |
| Mailing address | 1207 Troy Schenectady Rd Ste 102, Latham, NY 12110-1003 |
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