National Provider Identifier Database

ROMEO V MALOCO JR, OPTICIAN – NPI #1043501927
Optician


Contact Information

ROMEO V MALOCO JR, OPTICIAN
524 JEFFERSON PLZ
PORT JEFFERSON STATION, NY11776-1104
Phone: 631-476-4707
Fax:
Website:
Specialty Taxonomy Code
* Optician 156FX1800X
Contact Lens Fitter 156FC0801X

* Indicates primary specialty

NPI Profile & details for ROMEO V MALOCO JR

NPI Number 1043501927
Credentials OPTICIAN
Entity Individual
Enumeration date 04/26/2011
Last updated 04/26/2011 - About 15 years ago
Sole proprietor1 Yes
Identifiers
  • NY License #: C006424-1
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for ROMEO V MALOCO JR, OPTICIAN

There are currently no reviews for ROMEO V MALOCO JR, OPTICIAN


NPIdb - Home
v2.201