Individual
MRS. MARCIA MONICA MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
110 GREY ST, EAST AURORA, NY 14052-2129
(716) 652-9643
(716) 652-6646
Mailing address
110 GREY ST, EAST AURORA, NY 14052-2129
(716) 652-9643
(716) 652-6646
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007486-1
NY
Other
Enumeration date
08/14/2009
Last updated
08/14/2009
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