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Individual

DARLENE W GOLIBERSUCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
105 E MAIN ST, WESTFIELD, NY 14787-1306
(716) 793-2020
(716) 793-3030
Mailing address
105 E MAIN ST, WESTFIELD, NY 14787-1306
(716) 793-2020

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
005045
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02737337
NY
Enumeration date
05/09/2008
Last updated
01/26/2018
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