Individual
MARY ELIZABETH LATANYSHYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5663 SILVER STREET RD, AUBURN, NY 13021-8728
(315) 252-2452
Mailing address
5663 SILVER STREET RD, AUBURN, NY 13021-8728
(315) 252-2452
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
C005422-01
NY
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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