| |
146 Middle Neck Rd, Great Neck, NY 11021-1246 | |
(516) 466-3874 | |
(516) 466-1346 |
Full Name | |
---|---|
Type | Facility |
Speciality | Technician/technologist - Optician |
Location | 146 Middle Neck Rd, Great Neck, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861581704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 004987 (New York) | Secondary |
156FX1800X | Technician/technologist - Optician | 4296 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
146 Middle Neck Rd, Great Neck, NY 11021-1246 Ph: (516) 466-3874 | 146 Middle Neck Rd, Great Neck, NY 11021-1246 Ph: (516) 466-3874 |