Individual
CATHY LYNN MIODONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 WALDEN AVE, CHEEKTOWAGA, NY 14225-4738
(716) 896-5217
(716) 681-4249
Mailing address
2500 WALDEN AVE, CHEEKTOWAGA, NY 14225-4738
(716) 896-5217
(716) 681-4249
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6905-1
NY
Other
Enumeration date
12/08/2018
Last updated
12/08/2018
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