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Individual

DR. JOHN D IAMELE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
164 E MAIN ST, HUNTINGTON, NY 11743-2955
(631) 385-2020
(631) 385-5688
Mailing address
164 E MAIN ST, HUNTINGTON, NY 11743-2955
(631) 385-2020
(631) 385-5688

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT004906
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1275517385
INDIVIDUAL NPI
NY
01
1760539159
BUSINESS NPI
NY
Enumeration date
12/01/2005
Last updated
04/17/2013
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