Individual
MR. RICHARD CALVIN VANGORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
48 MAIN ST, MASSENA, NY 13662-1984
(315) 764-7001
(315) 764-5615
Mailing address
48 MAIN ST, MASSENA, NY 13662-1984
(315) 764-7001
(315) 764-5615
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009434
NY
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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