Individual
MR. VICTOR SCICCHITANO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ABO CERTIFIED OPTICI
Contact information
Practice address
1890 OLD COUNTRY RD, RIVERHEAD, NY 11901-4453
(631) 369-9055
(631) 727-2137
Mailing address
12 HURON RD, SHIRLEY, NY 11967-2306
(631) 275-8597
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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