| Doctor Name: | MS. SUSAN FRANCES PISCATELLI |
| NPI Number: | 1023162369 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.O. |
| License Number: | 001096 |
| Business Practice Address: | Shoreline Eye Associates 515 Boston St. Guilford, CT - 064372960 |
| Business Phone Number: | 2034538700 |
| Business Fax Number: | 2034589456 |
| Mailing Address: | Shoreline Eye Associates, 515 Boston St. GUILFORD |
| State: | CT |
| Postal Code: | 064372960 |
| Phone Number: | 2034538700 |
| Fax Number: | 2034589456 |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 03/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | 001096 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |