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Individual

MAURO VESCOVI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
50 COOPER AVE, STATEN ISLAND, NY 10305-1344
(718) 979-2020
Mailing address
50 COOPER AVE, STATEN ISLAND, NY 10305-1344

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
00007476
NY

Other

Enumeration date
02/03/2010
Last updated
02/03/2010
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