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Individual

MS. VANESSA J. AZZOTO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OPTICIAN

Contact information

Practice address
7903 BREWERTON RD, WEST MARINE PLAZA, CICERO, NY 13039-9531
(315) 699-1700
(315) 699-1707
Mailing address
8811 WEDGEFIELD LN, CICERO, NY 13039-9775
(315) 698-0576

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008383-1
NY

Other

Enumeration date
06/27/2006
Last updated
10/16/2009
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