Individual
MARISSA RENEE SEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2825 NIAGARA FALLS BLVD STE 130, AMHERST, NY 14228-2021
(716) 564-2020
Mailing address
3768 COOMER RD, NEWFANE, NY 14108-9617
(716) 343-3207
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009849
NY
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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