Organization
PEDIATRIC EYEWEAR OF STATEN ISLAND
Active
Other names
Pediatric Eyewear
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK DERESPINIS (OWNER)
(718) 667-1010
Entity
Organization
Contact information
Practice address
2504 RICHMOND RD, STATEN ISLAND, NY 10306-2365
(718) 667-1010
(718) 667-9217
Mailing address
2504 RICHMOND RD, STATEN ISLAND, NY 10306-2365
(718) 667-1010
(718) 667-9217
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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