Pscg Optics INC
NPI #1780717199 in Lake Ronkonkoma, New York
Provider Information
- NPI Number
- 1780717199
- Entity Type
- Organization
- Organization Name
- Pscg Optics INC
- Primary Specialty
- Optometrist
- Enumeration Date
- Mar 14, 2007
- Last Updated
- Sep 9, 2015
Practice Location
- Address
- 388 HAWKINS AVE
- Address 2
- SUITE 2
- City
- Lake Ronkonkoma
- State
- New York
- ZIP Code
- 11779-4280
- Phone
- (631) 588-7004
Authorized Official
- Name
- DR. CHRISTOPHER GENTILE, O.D.
- Title
- OPTOMETRIST
- Phone
- (631) 588-7004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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