Individual
DENNIS JOSEPH NEEDHAM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5430 BROADWAY ST, LANCASTER, NY 14086-2124
(716) 685-4050
(716) 685-2873
Mailing address
6 OLD MILL RUN, DEPEW, NY 14043-5008
(716) 668-4177
(716) 668-4177
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004546-1
NY
Other
Enumeration date
01/19/2006
Last updated
07/08/2007
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