Individual
BRIDGET MARIE GROSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
3018 EAST AVE STE 1, CENTRAL SQUARE, NY 13036-2699
(315) 668-0422
(315) 668-0424
Mailing address
3018 EAST AVE, CENTRAL SQUARE, NY 13036
(315) 668-0422
(315) 668-0424
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009457
NY
Other
Enumeration date
04/15/2024
Last updated
04/15/2024
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