Individual
THOMAS CANNONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6115 METROPOLITAN AVE, RIDGEWOOD, NY 11385-2644
(718) 312-6959
(718) 497-1055
Mailing address
1 CVS DRIVE, MAIL STOP #3005, WOONSOCKET, RI 02895
(401) 770-2286
(401) 269-4731
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009495
NY
Other
Enumeration date
10/29/2021
Last updated
10/29/2021
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