Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 007412-1 | NY |
NPI | 1225692304 |
---|---|
Provider Name | Mrs. Patricia L Topper |
First Address | Woodbury, NY 11797 |
Second Address | Woodbury, NY 11797 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/04/2019 |
Last Update Date | 24/04/2019 |