Brian Maillard, Od
NPI #1912281007 in Cobleskill, New York
Provider Information
- NPI Number
- 1912281007
- Entity Type
- Organization
- Organization Name
- Brian Maillard, Od
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Oct 6, 2011
- Last Updated
- Oct 6, 2011
Practice Location
- Address
- 108 LEGION DR
- City
- Cobleskill
- State
- New York
- ZIP Code
- 12043-5112
- Phone
- (518) 234-2931
Authorized Official
- Name
- DR. BRIAN MAILLARD, OD
- Title
- OWNER
- Phone
- (518) 234-2931
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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