Individual
DR. KRISTEN JEAN TADDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
125 LAWRENCE RD E, N SYRACUSE, NY 13212-3844
(315) 455-5500
Mailing address
5100 W TAFT RD, STE 4M, LIVERPOOL, NY 13088-3810
(315) 455-5500
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007736
NY
Other
Enumeration date
05/29/2011
Last updated
10/31/2016
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