Individual
AMY GROVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
1028B UNION RD, WEST SENECA, NY 14224-3449
17166746060
Mailing address
1028B UNION RD, WEST SENECA, NY 14224-3449
17166746060
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
8809-1
NY
Other
Enumeration date
09/08/2017
Last updated
06/16/2018
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