Individual
DR. RAISA AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
748 S MEADOW ST, ITHACA, NY 14850-5374
(607) 330-9004
Mailing address
748 S MEADOW ST, ITHACA, NY 14850-5374
(607) 330-9004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009780
PA
Other
Enumeration date
06/30/2023
Last updated
06/30/2023
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