Individual
MRS. LYDIA ANNE MALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
1317 MOUNT HOPE AVE, ROCHESTER, NY 14620-3923
(585) 276-7676
Mailing address
1317 MOUNT HOPE AVE, ROCHESTER, NY 14620-3923
(585) 276-7676
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008538-1
NY
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
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