Coram Hills Eyecare Optometry & Opthalmic Dispensing Pllc

NPI #1366423493 in Coram, New York

Provider Information

NPI Number: 1366423493
Entity Type: Organization
Organization Name: Coram Hills Eyecare Optometry & Opthalmic Dispensing Pllc
Primary Specialty: Eyewear Supplier
Enumeration Date: Nov 7, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 592 MILL RD
City: Coram
State: New York
ZIP Code: 11727-4114
Phone: (631) 732-0822

Authorized Official

Name: DR. VINCENT COLTELLINO, OD
Title: PRINCIPAL PARTNER
Phone: (631) 732-0822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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