Individual
MR. ALLEN M GOLIBERSUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12444 BROADWAY ST., ALDEN, NY 14004
(716) 937-8888
(716) 937-8889
Mailing address
12444 BROADWAY ST, ALDEN, NY 14004-9529
(716) 937-8888
(716) 937-8889
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
NY8737
NY
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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