Individual
GINA MINUCCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
125 MAIN ST, STONY BROOK, NY 11790-1911
(631) 751-2801
(631) 751-2832
Mailing address
125 MAIN ST, STONY BROOK, NY 11790-1911
(631) 751-2801
(631) 751-2832
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
VUT005345
NY
Other
Enumeration date
07/16/2005
Last updated
04/08/2008
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