person
Martha Canon, LDO
Optician in New York, New York
NPI 1023644291

Martha Canon is a Optician based in Austin, NY and is specialized in Optician. Martha Canon practices in New York, NY and has the professional credentials of LDO. The NPI Number for Martha Canon is 1023644291 and holds a License No. 009898 (New York).

The current practice location address for Martha Canon is 1440 Broadway # 10826, New York, NY and can be reached out via phone at 212-221-3844.

Location: 1440 Broadway # 10826, New York, NY, 78753-2658
person
Provider Profile Details
NPI Number
1023644291
Provider Name
Martha Canon
Credential
LDO
Provider Entity Type
Individual
Gender
Female
Address
1440 Broadway # 10826, New York, NY, 78753-2658
Phone Number
212-221-3844
Fax Number
Provider Enumeration Date
03/19/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1440 Broadway # 10826
City
State
Zip
10018-2301
Phone Number
212-221-3844
Fax Number
person
Provider Business Mailing Address Details
Address
1440 Broadway # 10826
City
State
Zip
10018-2301
Phone Number
212-221-3844
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
009898 (New York)
Definition
Definition to come...
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