Individual
DR. MARIE PRASAD SISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
625 BROADHOLLOW RD, MELVILLE, NY 11747-5006
(631) 845-5039
Mailing address
63 WINNECOMAC CIR, KINGS PARK, NY 11754-4608
(516) 242-7428
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
005566
NY
Other
Enumeration date
06/12/2007
Last updated
07/08/2007
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