person
Mr. Alfred Michael Russitano, OPTICIAN
Optician in Canastota, New York
NPI 1053403972

Alfred Michael Russitano is a Optician based in Canastota, NY and is specialized in Optician. Alfred Michael Russitano practices in Canastota, NY and has the professional credentials of OPTICIAN. The NPI Number for Alfred Michael Russitano is 1053403972 and holds a License No. 4846 (New York).

The current practice location address for Alfred Michael Russitano is 174 Canal St, Canastota, NY and can be reached out via phone at 315-697-3334 and via fax at 315-697-3423.

Location: 174 Canal St, Canastota, NY, 13032-1335
person
Provider Profile Details
NPI Number
1053403972
Provider Name
Alfred Michael Russitano
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
174 Canal St, Canastota, NY, 13032-1335
Phone Number
315-697-3334
Fax Number
315-697-3423
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
174 Canal St
City
State
Zip
13032-1335
Phone Number
315-697-3334
Fax Number
315-697-3423
person
Provider Business Mailing Address Details
Address
174 Canal St
City
State
Zip
13032-1335
Phone Number
315-697-3334
Fax Number
315-697-3423
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
4846 (New York)
Definition
Definition to come...
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