Individual
MRS. GEANA MARIA CONVERSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
608 PEARL ST, WATERTOWN, NY 13601-2158
(315) 767-0209
(315) 755-2091
Mailing address
608 PEARL ST, WATERTOWN, NY 13601-2158
(315) 767-0209
(315) 755-2091
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007846
NY
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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