Individual
MARILYN VRICELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV005896
NY
152WP0200X
Pediatric Optometrist
TUV005896
NY
Other
Enumeration date
05/02/2006
Last updated
08/28/2007
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