THEODORE PETER FORTUNA

BATAVIA, NY
NPI1649220013
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1100X Technician/Technologist, Ophthalmic
(Licence: NY  5041)
Enumeration Date2006-05-10
Last Update Date2007-07-08
Business Address
-- THEODORE PETER FORTUNA Ophthalmic Dispenser
113 MAIN ST STE 2
BATAVIA, NY 14020
Phone number: 585-344-1345
Mailing Address
-- THEODORE PETER FORTUNA Ophthalmic Dispenser
113 MAIN ST STE 2
BATAVIA, NY 14020
Phone number: 585-344-1345