Ceravolo, Mariateresa
Ceravolo, Mariateresa is an individual health care provider with primary practice located at 325 West St , Canandaigua NY 14424-1723. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Ceravolo, Mariateresa can be contacted via phone (585) 394-2020.Contact Information
Primary practice address
325 West St
Canandaigua NY 14424-1723
Phone: (585) 394-2020
Fax: (585) 394-9261
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV006894 | New York |
Profile Details
| NPI number | 1760471338 |
|---|---|
| LBN Legal business name | Ceravolo, Mariateresa |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Feb 3rd, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760471338 | NPPES |
| New York | MEDICAID | 02708047 |
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