Individual
MR. RALPH ROBERT TISDALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPHTHALMIC DISPENSER
Contact information
Practice address
3844 SUNRISE HWY, SEAFORD, NY 11783-2634
(516) 781-4444
(516) 781-4060
Mailing address
3844 SUNRISE HWY, SEAFORD, NY 11783-2634
(516) 781-4444
(516) 781-4060
Taxonomy
Speciality
Code
Description
License number
State
156FC0801X
Contact Lens Fitter
Primary
C003643-1
NY
Other
Enumeration date
07/06/2007
Last updated
02/18/2009
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