Individual
DR. THEODORE J WADAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
408 MAIN ST, NEW YORK MILLS, NY 13417-1239
(315) 736-3217
(315) 736-3217
Mailing address
38 ROOSEVELT DR, WHITESBORO, NY 13492-1550
(315) 736-3217
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV48601
NY
Other
Enumeration date
11/24/2006
Last updated
02/06/2020
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