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Individual

DR. DAVID P DOZACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
470 W WATER ST, ELMIRA, NY 14905-2529
(607) 734-1679
(607) 732-5549
Mailing address
470 W WATER ST, ELMIRA, NY 14905-2529
(607) 734-1679
(607) 732-5549

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT003970
NY
152WC0802X
Corneal and Contact Management Optometrist
VUT003970
NY
152WL0500X
Low Vision Rehabilitation Optometrist
VUT003970
NY
152WP0200X
Pediatric Optometrist
VUT003970
NY
152WS0006X
Sports Vision Optometrist
VUT003970
NY

Other

Enumeration date
01/08/2006
Last updated
06/26/2008
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