Doctor Name: | ELDA CONE |
NPI Number: | 1144680158 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 001503 |
Business Practice Address: | 180 River Rd Lisbon, CT - 063513249 |
Business Phone Number: | 8603768431 |
Business Fax Number: | 8603768851 |
Mailing Address: | 180 River Rd, LISBON |
State: | CT |
Postal Code: | 063513249 |
Phone Number: | 8603768431 |
Fax Number: | 8603768851 |
NPI Enumeration Date: | 03/03/2016 |
NPI Last Update Date: | 03/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 001503 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |