National Provider Identifier
Stephanie Cushman, LDO
Stephanie Cushman, LDO is listed in the NPPES registry with a primary specialty of Optician in Newark, NY and a listed phone number of (315) 331-8921.
Profile Overview
- NPI
- 1881199123
- Provider Type
- Individual
- Primary Specialty
- Optician
- Enumeration Date
- March 28, 2018
- Last Updated
- March 28, 2018
Practice Location
- 1210 Driving Park Ave
- Newark, NY 14513-1057
Phone: (315) 331-8921
Mailing Address
- 325 West St
- Canandaigua, NY 14424-1787
Specialties
- Optician (156FX1800X)
Full Record
- NPI
- 1881199123
- Entity Type
- Individual
- Last Name
- Cushman
- First Name
- Stephanie
- Credential
- LDO
- Mailing Street Address
- 325 West St
- Mailing City
- Canandaigua
- Mailing State
- NY
- Mailing ZIP Code
- 14424-1787
- Mailing Country
- US
- Mailing Phone
- (585) 394-2020
- Practice Street Address
- 1210 Driving Park Ave
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1057
- Practice Country
- US
- Practice Phone
- (315) 331-8921
- Enumeration Date
- March 28, 2018
- Last Updated
- March 28, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Optician (156FX1800X)