Canarsie Optometry Pc | |
1761 Rockaway Pkwy, Brooklyn, NY 11236-4825 | |
(718) 513-9666 | |
Not Available |
Full Name | Canarsie Optometry Pc |
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Type | Facility |
Speciality | Optometrist |
Location | 1761 Rockaway Pkwy, Brooklyn, New York |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700491842 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Leonard Fuzaylov |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1225480296 PECOS PAC ID: 4385924323 Enrollment ID: I20161208000287 |
Mailing Address | Practice Location Address |
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Canarsie Optometry Pc 1761 Rockaway Pkwy, Brooklyn, NY 11236-4825 Ph: (718) 513-9666 | Canarsie Optometry Pc 1761 Rockaway Pkwy, Brooklyn, NY 11236-4825 Ph: (718) 513-9666 |
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