John J Maurillo Odpc

NPI #1164601506 in Skaneateles, New York

Provider Information

NPI Number: 1164601506
Entity Type: Organization
Organization Name: John J Maurillo Odpc
Primary Specialty: Optometrist
Enumeration Date: Nov 2, 2007
Last Updated: Apr 14, 2008

Practice Location

Address: 3986 JORDAN RD
City: Skaneateles
State: New York
ZIP Code: 13152-9401
Phone: (315) 685-2020

Authorized Official

Name: DR. JOHN JOSEPH MAURILLO II, OD
Title: OPTOMETRIST
Phone: (315) 685-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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