Individual
DR. JENNIFER MEGAN CEONZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
150 BROADHOLLOW RD STE 104, MELVILLE, NY 11747-4901
(631) 791-5155
(631) 791-5154
Mailing address
5 WINDSOR PL, MELVILLE, NY 11747-1331
(631) 673-1950
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006541
NY
Other
Enumeration date
10/10/2006
Last updated
03/05/2019
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