Individual
MR. JOSEPH DITOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2901 COURT ST, SYRACUSE, NY 13208-3217
(315) 455-8933
(315) 455-8934
Mailing address
7774 DEERFIELD RD, LIVERPOOL, NY 13090-2308
(315) 455-8933
(315) 455-8934
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT007004
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161512570
TAX ID #
NY
01
—
50743
BLUE CROSS
NY
Enumeration date
11/07/2006
Last updated
02/23/2009
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