Individual
MARIANA DALECIO MAEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
235 WASHINGTON ST STE 1, SARATOGA SPRINGS, NY 12866-5963
(518) 587-5900
Mailing address
235 WASHINGTON ST STE 1, SARATOGA SPRINGS, NY 12866-5963
(518) 587-5900
(518) 587-5938
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009192
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
07/22/2020
Last updated
10/17/2023
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