Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 006444-1 | NY |
NPI | 1043700206 |
---|---|
Provider Name | Tamara Beth Britton |
First Address | Geneva, NY 14456-1336 |
Second Address | Geneva, NY 14456 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2018 |
Last Update Date | 14/05/2018 |