Individual
MACIE ANN GRAZIADEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 MILITARY RD, NIAGARA FALLS, NY 14304-4704
(716) 298-5174
Mailing address
24 WATERFORD PARK, GRAND ISLAND, NY 14072-2854
(716) 807-1396
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007936-1
NY
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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