Individual
MRS. CHRISTIANNE DELLARATTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
1010 ROUTE 112, SUITE 300, PORT JEFFERSON STATION, NY 11776-3387
(631) 476-3500
(631) 331-1497
Mailing address
1010 ROUTE 112, SUITE 300, PORT JEFFERSON STATION, NY 11776-3387
(631) 476-3500
(631) 331-1497
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008508-1
NY
Other
Enumeration date
08/28/2008
Last updated
08/28/2008
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