Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 243 Route 59, Airmont, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851175137 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Richard Varricchio |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1356475073 PECOS PAC ID: 3577461433 Enrollment ID: I20031230000210 |
Mailing Address | Practice Location Address |
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243 Route 59, Airmont, NY 10901 Ph: (845) 368-2202 | 243 Route 59, Airmont, NY 10901 Ph: (845) 368-2202 |