NPI | 1750756342 |
---|---|
Former Name | ANGELINA MARIE SCARAMUZZO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV008341) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NC 2498) |
152W00000X Optometrist (Licence: FL 5434) | |
152W00000X Optometrist (Licence: CO 0003751) | |
Enumeration Date | 2015-12-08 |
Last Update Date | 2022-09-26 |