Individual
MRS. MARTHA LAUREL SANTA CROCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
32 GARFIELD AVE, ENDICOTT, NY 13760-5450
(607) 754-8670
(607) 786-5318
Mailing address
48 DICKINSON AVE, BINGHAMTON, NY 13901-1737
(607) 724-0102
(607) 786-5318
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TU-005380-1
NY
Other
Enumeration date
10/04/2006
Last updated
12/19/2007
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