Organization Name: | KATHY FERRO WEISS |
NPI Number: | 1063693539 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHY FERRO WEISS (OPTHALMIC DISPENSER) |
Mailing Address: | 32 Garfield Ave Endicott |
State: | NY US |
Postal Code: | 137605450 |
Phone Number: | 6077548670 |
Fax Number: | |
NPI Enumeration Date: | 11/26/2007 |
NPI Last Update Date: | 07/01/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | C003777 1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |