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Todd T Rodabaugh
Optician in Horseheads, New York
NPI 1205038965

Todd T Rodabaugh is a Optician based in Horseheads, NY and is specialized in Optician. Todd T Rodabaugh practices in Horseheads, NY. The NPI Number for Todd T Rodabaugh is 1205038965 and holds a License No. 005967 (New York).

The current practice location address for Todd T Rodabaugh is 126 S Main St, Horseheads, NY and can be reached out via phone at 607-739-9121.

Location: 126 S Main St, Horseheads, NY, 14845-2443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205038965
Provider Name
Todd T Rodabaugh
Credential
Provider Entity Type
Individual
Gender
Male
Address
126 S Main St, Horseheads, NY, 14845-2443
Phone Number
607-739-9121
Fax Number
Provider Enumeration Date
06/04/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
02064217 05 NY
institution
Provider Business Practice Location Address Details
Address
126 S Main St
City
Horseheads
State
New York
Zip
14845-2443
Phone Number
607-739-9121
Fax Number
person
Provider Business Mailing Address Details
Address
126 S Main St
City
Horseheads
State
New York
Zip
14845-2443
Phone Number
607-739-9121
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
005967 (New York)
Definition
Definition to come...
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