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Individual

DR. MIRIAM A MADRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
147 W 142ND ST FL 1, NEW YORK, NY 10030-1865
(212) 439-9600
(646) 410-0667
Mailing address
147 W 142ND ST FL 1, NEW YORK, NY 10030-1865
(212) 439-9600
(646) 410-0667

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008826
NY
152WL0500X
Low Vision Rehabilitation Optometrist
008826
NY

Other

Enumeration date
06/13/2018
Last updated
09/30/2021
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