Individual
TAYLOR ELIZABETH RADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 COMMERCE AVE, RIVERHEAD, NY 11901-4454
(631) 727-0880
Mailing address
192 N WISCONSIN AVE, MASSAPEQUA, NY 11758-1734
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
-
NY
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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