| |
66-26 Metropolitan Ave, Middle Village, NY 11379 | |
(718) 497-8910 | |
(718) 497-8911 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 66-26 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 |
---|---|---|---|
1225210081 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TVV00033761 (New York) | Primary |
156FX1800X | Technician/technologist - Optician | 0047061 (New York) | Secondary |
Mailing Address | Practice Location Address |
---|---|
66-26 Metropolitan Ave, Middle Village, NY 11379 Ph: (718) 497-8910 | 66-26 Metropolitan Ave, Middle Village, NY 11379 Ph: (718) 497-8910 |