Individual
TAMMY PATNODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
156 FLAT ROCK RD, MALONE, NY 12953-2604
(518) 483-8788
Mailing address
156 FLAT ROCK RD, MALONE, NY 12953-2604
(518) 483-8788
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008213
NY
Other
Enumeration date
11/08/2013
Last updated
11/08/2013
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