Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 003540 | NY |
NPI | 1053591719 |
---|---|
Provider Name | Ms. M Bell Price |
First Address | Rochester, NY 14617-4307 |
Second Address | Rochester, NY 14617-4307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2007 |
Last Update Date | 11/11/2007 |