Individual
DR. MATTHEW PUPPARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
113 E 31ST ST APT 4B, NEW YORK, NY 10016-9511
(585) 752-7512
Mailing address
113 E 31ST ST APT 4B, NEW YORK, NY 10016-9511
(585) 752-7512
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008505
NY
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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