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Individual

MR. WILLIAM RANDALL DANZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
347 5TH AVE, SUITE 1104, NEW YORK, NY 10016-5010
(212) 697-5722
(212) 687-9185
Mailing address
347 5TH AVE, SUITE 1104, NEW YORK, NY 10016-5010
(212) 697-5722
(212) 687-9185

Taxonomy

Speciality
Code
Description
License number
State
156FX1700X
Ocularist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00342434
NY
Enumeration date
09/07/2006
Last updated
02/25/2009
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