person
Mr. Daniel Goodman, OPTICIAN
Optician in Waterloo, New York
NPI 1902925670

Daniel Goodman is a Optician based in Waterloo, NY and is specialized in Optician. Daniel Goodman practices in Waterloo, NY and has the professional credentials of OPTICIAN. The NPI Number for Daniel Goodman is 1902925670 and holds a License No. C004107-1 (New York).

The current practice location address for Daniel Goodman is 204 Main Street Shop Ctr, Waterloo, NY and can be reached out via phone at 315-539-1209 and via fax at 607-739-8454.

Location: 204 Main Street Shop Ctr, Waterloo, NY, 13165-1454
person
Provider Profile Details
NPI Number
1902925670
Provider Name
Daniel Goodman
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
204 Main Street Shop Ctr, Waterloo, NY, 13165-1454
Phone Number
315-539-1209
Fax Number
607-739-8454
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
204 Main Street Shop Ctr
City
State
Zip
13165-1454
Phone Number
315-539-1209
Fax Number
607-739-8454
person
Provider Business Mailing Address Details
Address
204 Main Street Shop Ctr
City
State
Zip
13165-1454
Phone Number
315-539-1209
Fax Number
607-739-8454
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
C004107-1 (New York)
Definition
Definition to come...
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