Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. ROMEO VELASCO MALOCO JR., OPTICIAN
Active Sole ProprietorOptician, Dispensing · PORT JEFFERSON STATION, NY
Registration Details
- NPI Number
- 1043501927
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 26, 2011 (14.991094765951 yrs)
- Last Updated
- Apr 26, 2011
- Licenses
-
C006424-1 (NY)C006424-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
524 JEFFERSON PLZPORT JEFFERSON STATION, NY, 117761104Browse NY providers · Browse ZIP 11776
- Phone
- 6314764707
- Primary Specialty
-
Optician, Dispensing
156FX1800X
- Additional Specialty
- Optician, Dispensing
Other Optician, Dispensing Providers in PORT JEFFERSON STATION, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. CHRISTIANNE DELLARATTA | OPTICIAN | 1639327091 |
| MR. PAUL MASTROROCCO | DISPENSING OPTICIAN | 1801041843 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.