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Individual

THOMAS J LANDRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
232 DENISON PKWY E, CORNING, NY 14830-2813
(607) 937-5800
(607) 398-3341
Mailing address
207 MADISON AVE, ELMIRA, NY 14901-3204
(607) 734-2984
(607) 398-3411

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004849
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
180021882
RR MEDICARE
Enumeration date
09/07/2005
Last updated
01/18/2012
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