Organization
ALFRED M. RUSSITANO
Active
Other names
Canal Town Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALFRED M. RUSSITANO (OWNER/OPTICIAN)
(315) 697-3334
Entity
Organization
Contact information
Practice address
174 CANAL ST, CANASTOTA, NY 13032-1335
(315) 697-3334
(315) 697-3423
Mailing address
174 CANAL ST, CANASTOTA, NY 13032-1335
(315) 697-3334
(315) 697-3423
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
4846
NY
Other
Enumeration date
05/16/2008
Last updated
12/07/2023
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