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Andrew Taddeo
Optician in Syracuse, New York
NPI 1730199043

Andrew Taddeo is a Optician based in Clay, NY and is specialized in Optician. Andrew Taddeo practices in Syracuse, NY. The NPI Number for Andrew Taddeo is 1730199043 and holds a License No. C0038721 (New York).

The current practice location address for Andrew Taddeo is 1101 Erie Blvd E, Syracuse, NY and can be reached out via phone at 315-422-4412 and via fax at 315-422-4690.

Location: 1101 Erie Blvd E, Syracuse, NY, 13041-9412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730199043
Provider Name
Andrew Taddeo
Credential
Provider Entity Type
Individual
Gender
Male
Address
1101 Erie Blvd E, Syracuse, NY, 13041-9412
Phone Number
315-422-4412
Fax Number
315-422-4690
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01007758 05 NY
institution
Provider Business Practice Location Address Details
Address
1101 Erie Blvd E
City
Syracuse
State
New York
Zip
13210-1144
Phone Number
315-422-4412
Fax Number
315-422-4690
person
Provider Business Mailing Address Details
Address
1101 Erie Blvd E
City
Syracuse
State
New York
Zip
13210-1144
Phone Number
315-422-4412
Fax Number
315-422-4690
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
C0038721 (New York)
Definition
Definition to come...
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