Individual
MRS. ANGELA AYOTTE GAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
155 FINNEY BLVD, SUITE 1, MALONE, NY 12953-1067
(518) 483-0109
(518) 483-0115
Mailing address
282 HALL RD, MASSENA, NY 13662-3377
(315) 769-5520
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
006074 1
NY
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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