National Provider Identifier
Allen M Golibersuch
Allen M Golibersuch is listed in the NPPES registry with a primary specialty of Optician in Alden, NY and a listed phone number of (716) 937-8888.
Profile Overview
- NPI
- 1073884912
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- January 24, 2012
- Last Updated
- January 24, 2012
Practice Location
- 12444 Broadway St.
- Alden, NY 14004
Phone: (716) 937-8888
Mailing Address
- 12444 Broadway St
- Alden, NY 14004-9529
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1073884912
- Entity Type
- Individual
- Last Name
- Golibersuch
- First Name
- Allen
- Middle Name
- M
- Name Prefix
- Mr.
- Mailing Street Address
- 12444 Broadway St
- Mailing City
- Alden
- Mailing State
- NY
- Mailing ZIP Code
- 14004-9529
- Mailing Country
- US
- Mailing Phone
- (716) 937-8888
- Mailing Fax
- (716) 937-8889
- Practice Street Address
- 12444 Broadway St.
- Practice City
- Alden
- Practice State
- NY
- Practice ZIP Code
- 14004
- Practice Country
- US
- Practice Phone
- (716) 937-8888
- Practice Fax
- (716) 937-8889
- Enumeration Date
- January 24, 2012
- Last Updated
- January 24, 2012
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)