Individual
ALBERT A MARCANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
601 SUFFOLK AVE, BRENTWOOD, NY 11717-4309
(631) 231-4455
(631) 434-1728
Mailing address
601 SUFFOLK AVE, BRENTWOOD, NY 11717-4309
(631) 231-4455
(631) 434-1728
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007687
NY
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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