Individual
DENNIS NEAL GALLIVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5735 S TRANSIT RD, LOCKPORT, NY 14094-5864
(716) 438-2906
(716) 433-4021
Mailing address
5735 S TRANSIT RD, LOCKPORT, NY 14094-5864
(716) 438-2906
(716) 433-4021
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
9403-01
NY
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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