Individual
DR. ANTONIA MORTELLITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
52 EAST 72 ST, NEW YORK, NY 10021
(212) 439-9775
(212) 439-0796
Mailing address
52 E 72 ST, NEW YORK, NY 10021
(212) 439-9775
(212) 439-0796
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
002077
CT
152W00000X
Optometrist
Primary
TUV0045231
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
561621
AETNA
NY
Enumeration date
02/22/2007
Last updated
07/08/2007
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