Individual
MARIA TANIA TAPIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3990 NESCONSET HWY, SETAUKET, NY 11733-3334
(631) 474-3808
Mailing address
3 ORMAND AVE, MEDFORD, NY 11763-4412
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009563-1
NY
Other
Enumeration date
12/18/2017
Last updated
12/18/2017
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