Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156FC0800X | Contact Lens | C008651-3 | NY |
N | 156FC0801X | Contact Lens Fitter | C008651-3 | NY |
Y | 156FX1800X | Optician | C008651-3 | NY |
NPI | 1427561117 |
---|---|
Provider Name | Michael Firlit |
First Address | Canandaigua, NY 14424-1787 |
Second Address | Canandaigua, NY 14424-1787 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2017 |
Last Update Date | 17/03/2018 |