Individual
JUSTIN PECORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
25737 US ROUTE 11, EVANS MILLS, NY 13637-3221
(315) 629-4316
Mailing address
22282 SWAN RD, WATERTOWN, NY 13601-5782
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007828
NY
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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