Mi Patito LLC
NPI #1285485524 in Lindenhurst, New York
Provider Information
- NPI Number
- 1285485524
- Entity Type
- Organization
- Organization Name
- Mi Patito LLC
- Primary Specialty
- Eyewear Supplier
- Enumeration Date
- Mar 27, 2024
- Last Updated
- Mar 27, 2024
Practice Location
- Address
- 350 MONTAUK HWY
- City
- Lindenhurst
- State
- New York
- ZIP Code
- 11757-6137
- Phone
- (631) 225-5828
Authorized Official
- Name
- MARTIN PONCE
- Title
- PRESIDENT
- Phone
- (631) 225-5828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Eyewear Supplier |
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