Individual
DR. ANTONIETTE THAVARAJAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2810 SHERIDAN DR, TONAWANDA, NY 14150-9419
(716) 834-6000
Mailing address
6 PEBBLESTONE CIRCLE, BRAMPTON, ONTARIO L6X4M-3
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009448
NY
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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