Individual
DR. ALEX JUSTIN SCHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3400 NESCONSET HWY, SUITE 107, SETAUKET, NY 11733-3327
(631) 751-2020
Mailing address
3400 NESCONSET HWY, SUITE 107, SETAUKET, NY 11733-3327
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007620
NY
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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