Individual
MS. STORM SANDRA OJEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
2344 BROADWAY, WATERVLIET, NY 12189-2229
(518) 308-7304
Mailing address
2344 BROADWAY, WATERVLIET, NY 12189-2229
(518) 308-7304
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
010371
NY
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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