Individual
DR. MARK TIMOTHY MORREALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2000 WALDEN AVENUE, CHEEKTOWAGA, NY 14225
(716) 684-3960
Mailing address
2000 WALDEN AVENUE, CHEEKTOWAGA, NY 14225
(716) 684-3960
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007866
NY
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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