Individual
MS. DIANE MARIE TERRANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
560 LAKE AVE, LANCASTER, NY 14086-9300
(716) 684-2057
Mailing address
560 LAKE AVE, LANCASTER, NY 14086-9300
(716) 684-2057
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4337-1
NY
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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