Individual
MARY PLOEHN-BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICIAN
Contact information
Practice address
20823 NYS RT 3, WATERTOWN, NY 13601-5577
(315) 788-1570
(315) 788-0910
Mailing address
405 MAIN ST, OGDENSBURG, NY 13669-1122
(315) 276-9469
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5930
NY
Other
Enumeration date
09/21/2024
Last updated
09/21/2024
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