Healthcare Provider Details

I. General information

NPI: 1770856171
Provider Name (Legal Business Name): CMAC II PROPERTY MGMT GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2012
Last Update Date: 02/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 MOHAWK AVE
SCOTIA NY
12302-1800
US

IV. Provider business mailing address

301 MOHAWK AVE
SCOTIA NY
12302-1800
US

V. Phone/Fax

Practice location:
  • Phone: 518-346-2627
  • Fax:
Mailing address:
  • Phone: 518-346-2627
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number007441
License Number StateNY

VIII. Authorized Official

Name: CHRISTOPHER J BUONO
Title or Position: PRESIDENT
Credential: LICENSED OPTICIAN
Phone: 518-346-2627