Organization · Type 2 NPI
Alfred M. Russitano
Eyewear Supplier · Canastota, NY
NPI number
1548427701
Active
Practice location
174 Canal St
Canastota, NY 13032-1335
Fax (315) 697-3423
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | 4846 (NY) |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
Another provider at this address
About NPI 1548427701
Alfred M. Russitano's National Provider Identifier is 1548427701, issued on May 16, 2008. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Canastota, NY. The record was last updated on Dec 7, 2023.