Individual
MARK MADDALENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
288 LARKIN DR, MONROE, NY 10950-4911
(845) 783-1112
Mailing address
3 RIDINGS LN, CHESTER, NY 10918-2444
(845) 596-4244
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
010766
NY
Other
Enumeration date
12/30/2025
Last updated
12/30/2025
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