Individual
BROOKE COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
48 E SOUTH ST STE 110, GENESEO, NY 14454-1390
(585) 602-2130
Mailing address
48 E SOUTH ST STE 110, GENESEO, NY 14454-1390
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
010265
NY
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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