Individual
MARIO CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2894 LONG BEACH RD, OCEANSIDE, NY 11572-3114
(516) 888-1038
Mailing address
2894 LONG BEACH RD, OCEANSIDE, NY 11572-3114
(516) 888-1038
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
09/12/2020
Last updated
09/12/2020
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