THOMAS TARASOVICH

LATHAM, NY
NPI1609302538
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: NY  C04068-1)
Enumeration Date2017-05-11
Last Update Date2017-05-11
Business Address
-- THOMAS TARASOVICH
1207 TROY SCHENECTADY RD STE 102
LATHAM, NY 12110-1003
Phone number: 518-213-4468
Mailing Address
-- THOMAS TARASOVICH
1207 TROY SCHENECTADY RD STE 102
LATHAM, NY 12110-1003
Phone number: 518-213-4468