Individual
DR. MICHAEL G DORFMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4900 MERRICK RD, DAVIS VISION SOUTHGATE SHOPPING CENTER, MASSAPEQUA, NY 11762
(516) 799-6500
(516) 799-6507
Mailing address
2921 ERIE BLVD EAST, SYRACUSE, NY 13224
(315) 445-7465
(315) 445-7675
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VAT0038611
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00522790
—
NY
Enumeration date
04/08/2006
Last updated
07/08/2007
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