Individual
MARY E WHITCOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
710 HORATIO ST, UTICA, NY 13502-1461
(315) 733-7339
Mailing address
2607 CRESTWAY, UTICA, NY 13501-6240
(315) 793-3292
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
005471
NY
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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