Individual
MARY ANN RUBERTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7 WALL STREET, HUNTINGTON, NY 11743
(631) 271-1010
(631) 271-4035
Mailing address
5 GRIFFITH LANE, HUNTINGTON, NY 11743
(631) 786-3487
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T0048721
NY
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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