Individual
MR. EDWARD STUART MARUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15012 14TH AVE, WHITESTONE, NY 11357-1800
(718) 746-3937
(718) 747-6442
Mailing address
19 PONDEROSA LN, NESCONSET, NY 11767-3143
(516) 317-5516
(718) 747-6442
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5672-1
NY
Other
Enumeration date
10/07/2010
Last updated
10/07/2010
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