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Individual

DR. MELISSA OCHLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1430 MAIN AVE, CLIFTON, NJ 07011-2146
(646) 423-2781
Mailing address
357 BUCHANAN AVE, STATEN ISLAND, NY 10314-4107
(646) 423-2781

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
27OA00660600
NJ
152W00000X
Optometrist
Primary
56008349
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1306220785
NJ
05
1306220785
NY
Enumeration date
07/15/2015
Last updated
01/22/2016
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