Individual
MRS. JOANNE PATRICIA MURRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 MAIN ST, MEDINA, NY 14103-1417
(585) 798-4930
Mailing address
414 MAIN ST, MEDINA, NY 14103-1417
(585) 798-4930
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C005574
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02604864
—
NY
Enumeration date
06/24/2009
Last updated
06/24/2009
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