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Contact Information

ROMEO V MALOCO JR, OPTICIAN
524 JEFFERSON PLZ
PORT JEFFERSON STATION, NY11776-1104
 Phone: 631-476-4707
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optician

156FX1800X 96[5] Optician
 

Contact Lens Fitter

156FC0801X
Indicates primary specialty

NPI Profile & details for ROMEO V MALOCO JR · (Male)

NPI # 1043501927
Status Active
Credentials OPTICIAN
Entity Individual
Enumeration date 04/26/2011
Last updated 04/26/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # C006424-1
Hospital affiliation(s) Not Available
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.

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