Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PAUL MASTROROCCO, DISPENSING OPTICIAN
Active Sole ProprietorOptician, Dispensing · PORT JEFFERSON STATION, NY
Registration Details
- NPI Number
- 1801041843
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2008 (17.426920337446 yrs)
- Last Updated
- Sep 17, 2021
- License
-
5855-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
208 ROUTE 112 STE 2PORT JEFFERSON STATION, NY, 117761013Browse NY providers · Browse ZIP 11776
- Phone
- 6313310600
- Fax
- 6313310809
- Primary Specialty
-
Optician, Dispensing
156FX1800X
Other Optician, Dispensing Providers in PORT JEFFERSON STATION, NY
| Name | Credential | NPI |
|---|---|---|
| MRS. CHRISTIANNE DELLARATTA | OPTICIAN | 1639327091 |
| MR. ROMEO VELASCO MALOCO JR. | OPTICIAN | 1043501927 |
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.