Individual
SUZANNE MARIE BELLANTE-ELLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
WARWICK OPTICAL, 25 ELM STREET, WARWICK, NY 10990
(845) 987-7333
Mailing address
42 PINE HILL RD, CHESTER, NY 10918-1742
(917) 903-9651
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV0057891
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02118358
—
NY
Enumeration date
11/23/2005
Last updated
02/07/2024
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