Individual
MARTIN JOEL ROBERTSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
555 ROUTE 111, HAUPPAUGE, NY 11788-4359
(631) 979-0515
(631) 979-6072
Mailing address
555 ROUTE 111, HAUPPAUGE, NY 11788-4359
(631) 979-0515
(631) 979-6072
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV3129
NY
Other
Enumeration date
01/24/2007
Last updated
04/17/2008
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