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General NPI Number Information
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NPI Number | 1891882726
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Entity Type | Individual
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Provider Name | MARYANN PFEIFFER O.D.
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Gender | Female
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 07/12/2010
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Provider Practice Location Address
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Address Line | 1923 PALMER AVE
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City | LARCHMONT
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State | NY
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Zip | 10538-2403
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Country | US
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Telephone | 914-834-5576
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Fax |
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Provider Business Mailing Address
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Address Line | 55 SHORE RD
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City | PELHAM
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State | NY
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Zip | 10803-3616
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Country | US
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Telephone | 914-738-6892
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV005504-1
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License Number State | NY
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