Individual
MR. JOHN T DEPROSPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
314 LIVINGSTON ST, BROOKLYN, NY 11217-1033
(718) 875-3351
(718) 875-5687
Mailing address
314 LIVINGSTON ST, BROOKLYN, NY 11217-1033
(718) 875-3351
(718) 875-5687
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
006048
NY
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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