Individual
MELVIN MUNOZ GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
23 DAVIS AVE, POUGHKEEPSIE, NY 12603-2455
(845) 454-1025
(845) 454-5881
Mailing address
23 DAVIS AVE, POUGHKEEPSIE, NY 12603-2455
(845) 454-1025
(845) 454-5881
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
005017
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005017
NYS MEDICAL LICENSE
NY
Enumeration date
03/06/2008
Last updated
08/12/2014
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