Individual
JENNIFER L. LEUZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
14 MAIN ST, DANSVILLE, NY 14437-1756
(585) 335-9490
Mailing address
14 MAIN ST, DANSVILLE, NY 14437-1756
(585) 335-9490
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
005220
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103047CT
PREFERRED CARE
NY
01
—
MOP14M144
BLUE CROSS-SHIELD
NY
Enumeration date
04/26/2006
Last updated
02/25/2008
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