Individual
MARILYN RENEE FORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1805 E MAIN ST, ENDICOTT, NY 13760-5531
(607) 748-3434
(607) 398-3408
Mailing address
207 MADISON AVE, ELMIRA, NY 14901-3204
(607) 734-2984
(607) 398-3411
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV0053061
NY
Other
Enumeration date
04/12/2006
Last updated
12/15/2020
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