Individual
GREGORY DISANTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
15 GREELEY AVE, SAYVILLE, NY 11782-2605
(631) 589-1850
Mailing address
15 GREELEY AVE, SAYVILLE, NY 11782-2605
(631) 589-1850
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004395-1
NY
Other
Enumeration date
05/10/2006
Last updated
05/22/2008
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