Organization
GEPPETTO MANAGEMENT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DMITRY GUTKOVICH OD (SECRETARY)
(718) 631-8211
Entity
Organization
Contact information
Practice address
3990 NESCONSET HWY, EAST SETAUKET, NY 11733-3334
(631) 474-3808
Mailing address
14 SCENICVIEW CRES, MANORVILLE, NY 11949-2978
(631) 830-3800
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
08/10/2011
Last updated
08/10/2011
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