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Individual

CHARLENE Y TO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
2000 WALDEN AVE, WALDEN GALLERIA, CHEEKTOWAGA, NY 14225-5454
(716) 684-3960
Mailing address
1724 NORTHWOOD DR, WILLIAMSVILLE, NY 14221-3858
(716) 684-3996

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7343-1
NY

Other

Enumeration date
01/14/2009
Last updated
01/14/2009
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