Individual
MR. RONALD SAMPSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LDO
Contact information
Practice address
2950 HORSEBLOCK RD, MEDFORD, NY 11763-2543
(631) 776-9043
(631) 286-9485
Mailing address
2950 HORSEBLOCK RD, MEDFORD, NY 11763-2543
(631) 776-9043
(631) 286-9485
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009709
NY
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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