TINA MARIE WALLACE

HAUPPAUGE, NY
NPI1285271254
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy152WV0400X Optometrist, Vision Therapy
(Licence: NY  82685981)
Enumeration Date2019-12-09
Last Update Date2019-12-09
Business Address
TINA MARIE WALLACE
1363 VETERANS MEMORIAL HWY STE 8
HAUPPAUGE, NY 11788-3046
Phone number: 631-366-3876
Mailing Address
TINA MARIE WALLACE
124 SOUTH PATH
CALVERTON, NY 11933-1135
Phone number: 631-831-6676
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