Individual
MR. CHARLES J CRESSATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
131 MAPLE AVE, BETHPAGE, NY 11714-2117
(516) 822-6277
Mailing address
131 MAPLE AVE, BETHPAGE, NY 11714-2117
(516) 822-6277
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C03570
NY
Other
Enumeration date
12/29/2006
Last updated
07/08/2007
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