Ivan G Proano MD Pllc

NPI #1629000377 in Oswego, New York

Provider Information

NPI Number: 1629000377
Entity Type: Organization
Organization Name: Ivan G Proano MD Pllc
Primary Specialty: Ophthalmology
Enumeration Date: Jul 6, 2006
Last Updated: Jun 12, 2013

Practice Location

Address: 15 BRONSON ST
City: Oswego
State: New York
ZIP Code: 13126-1004
Phone: (315) 342-6176

Authorized Official

Name: IVAN G. PROANO, MD
Title: OWNER
Phone: (315) 342-6176

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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