Individual
DARLEEN KAY STOUDEMIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
2901 COURT ST, SYRACUSE, NY 13208-3217
(315) 455-8933
Mailing address
38 TOWN LINE RD, FULTON, NY 13069-4549
(315) 592-9166
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
005835-1
NY
Other
Enumeration date
02/19/2008
Last updated
02/19/2008
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