Individual
MR. ROBERT DANIEL DONDIEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2 MILLER PL, SMITHTOWN, NY 11787-3608
(631) 360-3420
Mailing address
2 MILLER PL, SMITHTOWN, NY 11787-3608
(631) 360-3420
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT005652
NY
Other
Enumeration date
10/25/2006
Last updated
06/04/2008
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