Individual
MISS ANTHONY RONALD RAYMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
257 KENMORE AVE, BUFFALO, NY 14223-3032
(716) 834-9500
Mailing address
257 KENMORE AVE, BUFFALO, NY 14223-3032
(716) 834-9500
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
NY3630
NY
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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