Doctor Name: | MARCEY A DENARDO |
NPI Number: | 1134549835 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICENSED OPTICIAN |
License Number: | 009341-1 |
Business Practice Address: | 41 Main St Silver Creek, NY - 141361416 |
Business Phone Number: | 7169343030 |
Business Fax Number: | 7169344960 |
Mailing Address: | 41 Main St, SILVER CREEK |
State: | NY |
Postal Code: | 141361416 |
Phone Number: | 7169343030 |
Fax Number: | 7169344960 |
NPI Enumeration Date: | 04/21/2014 |
NPI Last Update Date: | 04/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 009341-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |