Individual
MARIATERESA CERAVOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
325 WEST ST, CANANDAIGUA, NY 14424-1723
(585) 394-2020
(585) 394-9261
Mailing address
325 WEST ST, CANANDAIGUA, NY 14424-1787
(585) 394-2020
(585) 394-9261
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006894
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02708047
—
NY
Enumeration date
10/17/2005
Last updated
09/05/2025
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