National Provider Identifier
Martin D Ennulat
Martin D Ennulat is listed in the NPPES registry with a primary specialty of Optician in Corning, NY and a listed phone number of (607) 962-0386.
Profile Overview
- NPI
- 1467588517
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- February 25, 2007
- Last Updated
- July 08, 2007
Practice Location
- 115 E 1St St
- Corning, NY 14830-2710
Phone: (607) 962-0386
Mailing Address
- 2936 Powderhouse RD
- Corning, NY 14830-9629
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1467588517
- Entity Type
- Individual
- Last Name
- Ennulat
- First Name
- Martin
- Middle Name
- D
- Name Prefix
- Mr.
- Mailing Street Address
- 2936 Powderhouse RD
- Mailing City
- Corning
- Mailing State
- NY
- Mailing ZIP Code
- 14830-9629
- Mailing Country
- US
- Mailing Phone
- (607) 936-0141
- Practice Street Address
- 115 E 1St St
- Practice City
- Corning
- Practice State
- NY
- Practice ZIP Code
- 14830-2710
- Practice Country
- US
- Practice Phone
- (607) 962-0386
- Enumeration Date
- February 25, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)