Individual
MELISSA ANN DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 STATE ROUTE 37, HOGANSBURG, NY 13655
(515) 358-6075
(518) 358-6078
Mailing address
155 STATE ROUTE 37, HOGANSBURG, NY 13655
(518) 358-6075
(518) 358-6078
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007503-1
NY
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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