SearchNew York156FX1800X

Paul Mastrorocco, DISPENSING OPTICIAN

NPI 1801041843 · on the registry since 2008 · sole proprietor

Practice

Address
208 Route 112 Ste 2
Port Jefferson Station, NY 11776
Phone
(631) 331-0600
Fax
(631) 331-0809
Organisation at this address
Port Jefferson Opticians Inc
Inferred from a shared address, not stated in the registry.

Additional practice sites

  • 180 E Main St Ste 104, Patchogue, NY
  • 125 Main St, Stony Brook, NY
  • 79 E Main St Ste D, Smithtown, NY

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-09-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York