Teragram Ii, INC
NPI #1720487408 in Lake Grove, New York
Provider Information
- NPI Number
- 1720487408
- Entity Type
- Organization
- Organization Name
- Teragram Ii, INC
- Primary Specialty
- Optometrist
- Enumeration Date
- Aug 19, 2014
- Last Updated
- Aug 19, 2014
Practice Location
- Address
- 124 SMITH HAVEN MALL
- City
- Lake Grove
- State
- New York
- ZIP Code
- 11755-1214
- Phone
- (631) 724-9055
Authorized Official
- Name
- MARGARET DERAGO
- Title
- OWNER/PRESIDENT
- Phone
- (631) 724-9055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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