Individual
DR. ANDREW LEIGH ELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
173 7TH AVE, NEW YORK, NY 10011-1804
(212) 627-4488
Mailing address
1869 RAINBOW AVE, DE PERE, WI 54115-1721
(920) 246-9353
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009634
NY
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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