Individual
MS. ERYN MAE DOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 LYON PLACE SUITE 101, OGDENSBURG, NY 13669-2590
(315) 393-3937
(315) 393-0591
Mailing address
3 LYON PLACE SUITE 101, OGDENSBURG, NY 13669-2590
(315) 393-3937
(315) 393-0591
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0079491
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02580876
—
NY
Enumeration date
11/16/2006
Last updated
09/28/2015
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