| |
575 Burnside Ave, Inwood, NY 11096-1300 | |
(516) 238-8932 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Non-pharmacy Dispensing Site |
Location | 575 Burnside Ave, Inwood, 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 |
---|---|---|---|
1427824416 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
332900000X | Non-pharmacy Dispensing Site | (* (Not Available)) | Primary |
Provider Name | Rachel L Pollak |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1326525841 PECOS PAC ID: 0345594313 Enrollment ID: I20181109000313 |
Mailing Address | Practice Location Address |
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575 Burnside Ave, Inwood, NY 11096-1300 Ph: (516) 238-8932 | 575 Burnside Ave, Inwood, NY 11096-1300 Ph: (516) 238-8932 |