person
Mr. Mark Andrew Divietro, OPTICIAN
Optician in Auburn, New York
NPI 1558438820

Mark Andrew Divietro is a Optician based in Auburn, NY and is specialized in Optician. Mark Andrew Divietro practices in Auburn, NY and has the professional credentials of OPTICIAN. The NPI Number for Mark Andrew Divietro is 1558438820 and holds a License No. C0067671 (New York).

The current practice location address for Mark Andrew Divietro is 97 Genesee Street, Auburn, NY and can be reached out via phone at 315-253-7032 and via fax at 315-252-6377.

Location: 97 Genesee Street, Auburn, NY, 13021-3683
person
Provider Profile Details
NPI Number
1558438820
Provider Name
Mark Andrew Divietro
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
97 Genesee Street, Auburn, NY, 13021-3683
Phone Number
315-253-7032
Fax Number
315-252-6377
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
97 Genesee Street
City
State
Zip
13021-3683
Phone Number
315-253-7032
Fax Number
315-252-6377
person
Provider Business Mailing Address Details
Address
97 Genesee Street
City
State
Zip
13021-3683
Phone Number
315-253-7032
Fax Number
315-252-6377
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
C0067671 (New York)
Definition
Definition to come...
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