Individual
KEVIN WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
40 N UNION RD, BUFFALO, NY 14221-5339
(716) 631-3950
Mailing address
40 N UNION RD, BUFFALO, NY 14221-5339
(716) 631-3950
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C005947-1
NY
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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