Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1700X | Ocularist |
NPI | 1215161559 |
---|---|
Provider Name | Mr. Michael J. Strauss |
First Address | Rochester, NY 14623-1604 |
Second Address | Rochester, NY 14623-1604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2009 |
Last Update Date | 14/05/2009 |