Individual
DR. THOMAS S. GULLOTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
560 W 3RD ST, JAMESTOWN, NY 14701-4776
(716) 484-0325
Mailing address
560 W 3RD ST, JAMESTOWN, NY 14701-4776
(716) 484-0325
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3647
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31424B
MEDICARE
NY
Enumeration date
03/29/2006
Last updated
04/16/2010
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