Individual
MR. SCOTT R PORETSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
233 UNION AVE, SUITE 208, HOLBROOK, NY 11741-1820
(631) 580-2020
Mailing address
233 UNION AVE, SUITE 208, HOLBROOK, NY 11741-1820
(631) 580-2020
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007083
NY
Other
Enumeration date
03/20/2007
Last updated
03/06/2009
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