Individual
AMANDA NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
341 STATE ROUTE 104, OSWEGO, NY 13126-2911
(315) 706-5042
(315) 343-5165
Mailing address
341 STATE ROUTE 104, OSWEGO, NY 13126-2901
(315) 207-7044
(315) 343-5165
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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