Individual
MR. JOHN TRANCHESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
11 ROXBURY DR, COMMACK, NY 11725-1324
(631) 543-8732
(631) 543-8010
Mailing address
11 ROXBURY DR, COMMACK, NY 11725-1324
(631) 543-8732
(631) 543-8010
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C4340
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01459847
—
NY
Enumeration date
03/01/2007
Last updated
07/09/2007
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