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Mr. Martin D Ennulat
Optician in Corning, New York
NPI 1467588517

Martin D Ennulat is a Optician based in Corning, NY and is specialized in Optician. Martin D Ennulat practices in Corning, NY. The NPI Number for Martin D Ennulat is 1467588517 and holds a License No. 005781-1 (New York).

The current practice location address for Martin D Ennulat is 115 E 1St St, Corning, NY and can be reached out via phone at 607-962-0386.

Location: 115 E 1St St, Corning, NY, 14830-9629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467588517
Provider Name
Martin D Ennulat
Credential
Provider Entity Type
Individual
Gender
Male
Address
115 E 1St St, Corning, NY, 14830-9629
Phone Number
607-962-0386
Fax Number
Provider Enumeration Date
02/25/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
115 E 1St St
City
Corning
State
New York
Zip
14830-2710
Phone Number
607-962-0386
Fax Number
person
Provider Business Mailing Address Details
Address
115 E 1St St
City
Corning
State
New York
Zip
14830-2710
Phone Number
607-962-0386
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
005781-1 (New York)
Definition
Definition to come...
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