MS. Marie Diane Forman, LDO

NPI #1740035294 in Geneseo, New York

Provider Information

NPI Number
1740035294
Entity Type
Individual
Name
MS. Marie Diane Forman, LDO
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician/Technologist - Optician
Credential
LDO
Enumeration Date
Apr 18, 2024
Last Updated
Apr 18, 2024

Practice Location

Address
4235 VETERAN DR
ZIP Code
14454-9442
Phone
(585) 243-4004

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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