Individual
MR. THOMAS POLIZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
924 MONTAUK HWY, COPIAGUE, NY 11726-4901
(631) 789-2525
(631) 789-1495
Mailing address
924 MONTAUK HWY, COPIAGUE, NY 11726-4901
(631) 789-2525
(631) 789-1495
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
003867-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00902034
—
NY
Enumeration date
10/18/2006
Last updated
07/08/2007
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