Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 156FC0801X | Contact Lens Fitter | C6257 | NY |
N | 156FX1800X | Optician | C6257 | NY |
NPI | 1124151691 |
---|---|
Provider Name | Ms. Mary Ellen Curley |
First Address | Binghamton, NY 13901-2332 |
Second Address | Binghamton, NY 13901-2332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 08/07/2007 |