Autumn House, LDO
NPI #1790651867 in Cobleskill, New York
Provider Information
- NPI Number
- 1790651867
- Entity Type
- Individual
- Name
- Autumn House, LDO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- LDO
- Enumeration Date
- Oct 15, 2025
- Last Updated
- Oct 15, 2025
Practice Location
- Address
- 139 MERCHANT PL
- City
- Cobleskill
- State
- New York
- ZIP Code
- 12043-5715
- Phone
- (518) 234-1155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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