Individual
MR. DOMINIC M. FORNARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
218 HEMPSTEAD AVE, LYNBROOK, NY 11563-1611
(516) 887-4880
Mailing address
218 HEMPSTEAD AVE, LYNBROOK, NY 11563-1611
(516) 887-4880
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007782-1
NY
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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