DR. Gerard R D'aversa, OD

NPI #1104319219 in Westbury, New York

Provider Information

NPI Number
1104319219
Entity Type
Individual
Name
DR. Gerard R D'aversa, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Jun 13, 2018
Last Updated
Sep 9, 2019

Practice Location

Address
865 MERRICK AVE STE 80N
ZIP Code
11590-6711
Phone
(516) 804-5200

Specialties & Taxonomy Codes

Specialty
Optometrist

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