Organization
DR. JOHN D. IAMELE OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN D IAMELE OD (OWNER)
(631) 385-2020
Entity
Organization
Contact information
Practice address
164 E MAIN ST, HUNTINGTON, NY 11743-2955
(631) 385-2020
(631) 385-5688
Mailing address
164 E MAIN ST, HUNTINGTON, NY 11743-2955
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT004906
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5088400001
NHIC DME
NY
Enumeration date
01/05/2007
Last updated
05/08/2008
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