Individual
MELVIN MUNOZ GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
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
Update your record
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