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Individual

RAYMOND E MARIANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2000 N VILLAGE AVE, STE 402, ROCKVILLE CENTRE, NY 11570-1001
(516) 766-2519
(516) 766-3714
Mailing address
825 EAST GATE BLVD, STE 111, GARDEN CITY, NY 11530
(516) 804-5200
(516) 240-6540

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T005270
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01350825
NY
Enumeration date
06/21/2005
Last updated
09/17/2019
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