Individual
RALPH EMMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
127 SOUTH ST, OYSTER BAY, NY 11771-2226
(570) 430-5956
Mailing address
2337 31ST DR APT 4R, ASTORIA, NY 11106-4296
(570) 430-5956
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009130
NY
Other
Enumeration date
08/13/2020
Last updated
08/13/2020
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