Individual
RENATA NANNETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
2656 HYLAN BLVD STE 115, STATEN ISLAND, NY 10306-4359
(718) 987-7200
(718) 987-5200
Mailing address
2656 HYLAN BLVD STE 115, STATEN ISLAND, NY 10306-4359
(917) 217-1951
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007838-1
NY
Other
Enumeration date
08/14/2008
Last updated
03/30/2022
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