Organization
ELLICOTTVILLE OPTICAL INC.
Active
Organization
ELLICOTTVILLE OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSS MOSCATO OPTICIAN (OWNER/PRESIDENT)
(716) 699-5293
Entity
Organization
Contact information
Practice address
2 HUGHEY ALLEY, ELLICOTTVILLE, NY 14731-1340
(716) 699-5293
(716) 699-8726
Mailing address
PO BOX 1340, 2 HUGHEY ALLEY, ELLICOTTVILLE, NY 14731-1340
(716) 699-5293
(716) 699-8726
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
C004448
NY
Other
Enumeration date
01/31/2008
Last updated
02/22/2008
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