National Provider Identifier
Thaddeus Mroz
Thaddeus Mroz is listed in the NPPES registry with a primary specialty of Optician in Canandaigua, NY and a listed phone number of (585) 393-7293.
Profile Overview
- NPI
- 1457746596
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- April 06, 2015
- Last Updated
- April 06, 2015
Practice Location
- 400 Fort Hill Ave
- Canandaigua, NY 14424-1159
Phone: (585) 393-7293
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1457746596
- Entity Type
- Individual
- Last Name
- Mroz
- First Name
- Thaddeus
- Mailing Street Address
- 400 Fort Hill Ave
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1159
- Mailing Country
- US
- Mailing Phone
- (585) 393-7293
- Mailing Fax
- (585) 393-8286
- Practice Street Address
- 400 Fort Hill Ave
- Practice City
- Canandaigua
- Practice State
- NY
- Practice ZIP Code
- 14424-1159
- Practice Country
- US
- Practice Phone
- (585) 393-7293
- Practice Fax
- (585) 393-8286
- Enumeration Date
- April 06, 2015
- Last Updated
- April 06, 2015
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)