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6626 Metropolitan Ave, Middle Village, NY 11379-1630 | |
(718) 366-8193 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Optometrist - Corneal And Contact Management |
Location | 6626 Metropolitan Ave, Middle Village, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154667764 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WC0802X | Optometrist - Corneal And Contact Management | 1449548 (New York) | Primary |
Mailing Address | Practice Location Address |
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6626 Metropolitan Ave, Middle Village, NY 11379-1630 Ph: (718) 366-8193 | 6626 Metropolitan Ave, Middle Village, NY 11379-1630 Ph: (718) 366-8193 |