Individual
PATRICIA GUTHRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17760 UNION TPKE, SUITE 110, FRESH MEADOWS, NY 11366
(718) 460-1200
Mailing address
127 S EUCLID AVE, WESTFIELD, NJ 07090-5116
(908) 264-8061
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007556-1
NY
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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