Pisello, Dawn Louise

Pisello, Dawn Louise 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. Pisello, Dawn Louise can be contacted via phone (585) 394-2020.

Contact Information

Primary practice address
325 West St Canandaigua NY 14424-1723
Fax: (585) 394-9261
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 005497 New York

Profile Details

NPI number 1386647154
LBN Legal business name Pisello, Dawn Louise
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Sep 29th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386647154 NPPES
New York MEDICAID 01627430

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