Northeast Spec Corp

NPI #1649333493 in Wilton, New York

Provider Information

NPI Number: 1649333493
Entity Type: Organization
Organization Name: Northeast Spec Corp
Primary Specialty: Optometrist
Enumeration Date: Dec 19, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 16 OLD GICK RD
City: Wilton
State: New York
ZIP Code: 12866
Phone: (518) 587-0258

Authorized Official

Name: DR. KERRY LEE HARBECK, OD
Title: PRESIDENT OD
Phone: (518) 587-0258

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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