Individual
LORETTA CAMPISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAS, DO
Contact information
Practice address
3990 NESCONSET HWY, EAST SETAUKET, NY 11733-3334
(631) 474-3808
(631) 474-3815
Mailing address
3990 NESCONSET HWY, EAST SETAUKET, NY 11733-3334
(631) 474-3808
(631) 474-3815
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009708-1
NY
156FX1800X
Optician
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009708-1
—
NY
Enumeration date
12/18/2017
Last updated
06/16/2018
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