MR. ALFRED MICHAEL RUSSITANO (NPI# 1053403972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053403972 |
| Entity Type | Individual |
| Full Name | MR. ALFRED MICHAEL RUSSITANO |
| Credential | OPTICIAN |
| Practice Address |
174 Canal St Canastota NY 13032-1335 |
| Practice Telephone | 3156973334 |
| Practice Fax Number | 3156973423 |
| Mailing Telephone | 3156973334 |
| Mailing Fax Number | 3156973423 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2008-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
4846 | NY | Eye and Vision Services Providers |
| Street Address |
174 CANAL ST |
| City | CANASTOTA |
| State | NY |
| Zip Code | 13032-1335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548427701 | Alfred M. Russitano Optic | Eyewear Supplier (Equipment, not the service) | 174 Canal St, Canastota, NY 13032-1335 | 2008-05-16 |
| 1790764439 | John T. Janovsky | Optometrist | 174 Canal St, Canastota, NY 13032-1335 | 2006-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659606796 | Kathryn Lynn Wilmot | Physical Therapist | 3258 Perryville Road, Canastota, NY 13032 | 2009-10-07 |
| 1053564534 | Michelle Anne Leggett | Pharmacist | Route 5 and Oxbow Rd, Canastota, NY 13032 | 2008-10-29 |
| 1255587184 | Linda Jean Marquis | Licensed Practical Nurse | 120 Monroe Avenue, Canastota, NY 13032 | 2008-08-12 |
| 1437365533 | Charles A Choi | Dentist | 3167 Seneca Turnpike, Canastota, NY 13032 | 2007-05-15 |
| 1235218751 | Nanci Lynne Knox | Chiropractor | 3250 Seneca Turnpike, Unit 1, Canastota, NY 13032 | 2006-11-03 |
| 1053404772 | Canastota Pharmacy Dba Communitypharmacy | Pharmacist | 149 S Peterboro St., Canastota, NY 13032 | 2006-10-02 |
| 1356453005 | James Louis Colocotronis | Dentist | 121 S Peterboro St, Canastota, NY 13032 | 2006-08-31 |
| 1891757076 | John W Nebzydoski | Family Medicine | 7137 Mt Pleasant Rd, Canastota, NY 13032 | 2006-04-04 |
| 1639550460 | Michael Siegenthaler | Family Medicine | 7137 Mt Pleasant Rd, Canastota, NY 13032 | 2015-06-17 |
| 1528157591 | Greater Lenox Ambulance Service Inc | Ambulance | 1 Leland G. Wright Ave, Canastota, NY 13032-0382 | 2006-10-11 |
| Find all providers in zip 13032 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
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| 1942821749 | Frank Panzarella | Technician/Technologist | 364 Vermont St, Lindenhurst, NY 11757-5241 | 2020-05-03 |
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1023644291 | Martha Canon | Technician/Technologist | 1440 Broadway # 10826, New York, NY 10018-2301 | 2020-03-19 |
| 1619500964 | Raphael Optical Inc. | Technician/Technologist | 303 Wyckoff Ave, Brooklyn, NY 11237-5805 | 2020-02-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.