Individual
BEVIN SHANNON PIZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICAN
Contact information
Practice address
1401 ROUTE 300, SUITE 1054, NEWBURGH, NY 12550-2990
(845) 566-9179
Mailing address
1401 ROUTE 300, SUITE 1054, NEWBURGH, NY 12550-2990
(845) 566-9179
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
004141-1
NY
Other
Enumeration date
05/14/2008
Last updated
05/14/2008
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