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Individual

DR. ROBERT KENNETH NORRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
600C N WELLWOOD AVE, # C, LINDENHURST, NY 11757-2001
(631) 957-0033
(631) 957-2315
Mailing address
600 N WELLWOOD AVE, LINDENHURST, NY 11757-2000
(631) 957-0033
(631) 957-2315

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004634
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02018202
NY
01
410036802
RAILROAD MEDICARE PTAN
01
WZT7J1
MEDICARE PROVIDER NUMBER
Enumeration date
06/01/2005
Last updated
03/22/2010
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