Individual
RALPH DANIEL SUFFOLK III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5399 W GENESEE ST, WALMART VISION CENTER 2581, CAMILLUS, NY 13031-2265
(315) 468-2745
(315) 468-2786
Mailing address
5399 W GENESEE ST, WALMART VISION CENTER 2581, CAMILLUS, NY 13031-2265
(315) 468-2745
(315) 468-2786
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUOO4200-1
NY
Other
Enumeration date
09/28/2006
Last updated
11/28/2007
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