Individual
CAROLYN K ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
163 MAIN ST, PENN YAN, NY 14527-1284
(315) 536-9941
Mailing address
163 MAIN ST, PENN YAN, NY 14527-1284
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009431
NY
Other
Enumeration date
08/06/2021
Last updated
03/13/2023
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