Organization
DR MARK SORRENTINO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE SORRENTINO (OFFICE MANAGER)
(716) 536-1179
Entity
Organization
Contact information
Practice address
403 MAIN ST STE 510, BUFFALO, NY 14203-2107
(716) 852-7262
(716) 852-7267
Mailing address
403 MAIN ST STE 510, BUFFALO, NY 14203-2107
(716) 852-7262
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01906587
—
NY
Enumeration date
06/02/2021
Last updated
06/02/2021
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