Individual
DR. DONNA RICUPERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
111 MANCHESTER LN, STONY BROOK, NY 11790-2847
(631) 766-6317
Mailing address
111 MANCHESTER LN, STONY BROOK, NY 11790-2847
(631) 766-6317
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T005704
NY
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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