Doctor Name: | CAREY L DOANE |
NPI Number: | 1063636207 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 007454 |
Business Practice Address: | 10 Brentwood Dr Suite A Ithaca, NY - 148501865 |
Business Phone Number: | 6072575599 |
Business Fax Number: | 6072573972 |
Mailing Address: | 10 Brentwood Dr, Suite A ITHACA |
State: | NY |
Postal Code: | 148501865 |
Phone Number: | 6072575599 |
Fax Number: | 6072573972 |
NPI Enumeration Date: | 04/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 007454 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |