Individual
DR. LYNNE COLLEEN RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
79 MIDDLEVILLE RD, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
1 LOWELL ST, BETHPAGE, NY 11714-5207
(631) 792-4609
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009597
NY
Other
Enumeration date
07/09/2022
Last updated
07/23/2022
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