Individual
MICHELLE VIRGENE MICHALKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
380 S MAIN ST, ELMIRA, NY 14904-1343
(607) 734-4898
Mailing address
380 S MAIN ST, ELMIRA, NY 14904-1343
(607) 734-4898
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
005605
NY
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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