104th St Optical Inc

NPI 1033278544 - Optometrist - 152W00000X

NPI Details
NPI 1033278544
Enumeration Date 12/08/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name PHILIP PHILIP
Position OWNER
Phone (212) 831-4733
Fax (212) 831-0141
Practice Location
1884 3RD AVE
NEW YORK NY, 10029, US
Phone (212) 831-4733
Fax (212) 831-0141
Business Location
1884 3RD AVE
NEW YORK NY, 10029, US
Phone (212) 831-4733
Fax (212) 831-0141
Toxanomy
Taxonomy Code 152W00000X
License State
License Number
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According to our database, 104th St Optical Inc NPI is 1033278544, taxonomy code is 152W00000X 104th St Optical Inc physically located at 1884 3rd Ave, New York NY, 10029. NPI Number 1033115704 has the healthcare provider type.

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1033278544 NPI number is provided on an as is basis without warranty of any kind. 1033278544 is maintained by the National Plan & Provider Enumeration System. The contents of 104th St Optical Inc are for informational purposes only.