National Provider Identifier

Bruce C. Minger

Bruce C. Minger is listed in the NPPES registry with a primary specialty of Optician in Newark, NY and a listed phone number of (315) 331-7917.

NPI 1336164318Newark, NYOptician

Profile Overview

NPI
1336164318
Provider Type
Individual
Primary Specialty
Optician
Enumeration Date
July 12, 2006
Last Updated
July 09, 2007

Practice Location

  • 117 E Union St
  • Newark, NY 14513-1503

Phone: (315) 331-7917

Mailing Address

  • 236 State Route 88 S
  • Newark, NY 14513-9140

Specialties

  • Optician (156FX1800X)
Full Record
NPI
1336164318
Entity Type
Individual
Last Name
Minger
First Name
Bruce
Middle Name
C.
Mailing Street Address
236 State Route 88 S
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-9140
Mailing Country
US
Mailing Phone
(315) 331-2647
Mailing Fax
(315) 331-7917
Practice Street Address
117 E Union St
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1503
Practice Country
US
Practice Phone
(315) 331-7917
Practice Fax
(315) 331-7917
Enumeration Date
July 12, 2006
Last Updated
July 09, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optician (156FX1800X)
Other Identifiers
01782094 (NY)