SCOTT L DERCO

BAY SHORE, NY
NPI1699899260
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152WC0802X Optometrist, Corneal and Contact Management
(Licence: NY  VUT-4532-1)
Enumeration Date2007-03-19
Last Update Date2008-05-01
Business Address
Dr. SCOTT L DERCO O.D.
2044 SUNRISE HWY
BAY SHORE, NY 11706-6018
Phone number: 631-666-9595
Mailing Address
Dr. SCOTT L DERCO O.D.
188 GLEN SUMMER RD
HOLBROOK, NY 11741-5029
Phone number: 631-472-2552