MS. Marie Diane Forman, LDO
MS. Marie Diane Forman, LDO is an Optician in Geneseo, New York. Practices as a sole proprietor. Licensed in New York.
- Licensed in
- NY
- In the registry since
- 2024
Practice location Address checks out
4235 Veteran DrGeneseo, NY 14454-9442
Phone: (585) 243-4004
Fax: (585) 243-4009
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 01035-01 (NY) |
|---|
Record details
| NPI number | 1740035294 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LDO |
| Sole proprietor | Yes |
| NPI enumerated | April 18, 2024 |
| Last updated in NPPES | April 18, 2024 |
| Certification date | April 18, 2024 |
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