Individual
LISA CELLURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 W MAIN ST, BAY SHORE, NY 11706-8309
(631) 813-1112
(631) 206-9200
Mailing address
2 W MAIN ST, BAY SHORE, NY 11706-8309
(631) 813-1112
(631) 206-9200
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008166-1
NY
Other
Enumeration date
02/06/2013
Last updated
02/07/2022
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