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Individual

MICHAEL R PATERNO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
50 COBBLESTONE COURT DR, VICTOR, NY 14564-1044
(585) 425-1770
(585) 425-2770
Mailing address
18 THORNFIELD WAY, FAIRPORT, NY 14450-3049
(585) 223-9272

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004696
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
U49731
NY
Enumeration date
03/22/2013
Last updated
03/22/2013
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