MR. Mark Andrew Divietro, OPTICIAN
NPI #1558438820 in Auburn, New York
Provider Information
- NPI Number
- 1558438820
- Entity Type
- Individual
- Name
- MR. Mark Andrew Divietro, OPTICIAN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- OPTICIAN
- Enumeration Date
- Nov 29, 2006
- Last Updated
- Jul 8, 2007
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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