| |
64a Mott St, New York, NY 10013-4811 | |
(917) 968-1954 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center |
Location | 64a Mott St, New York, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679911838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 005834 (New York) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
332H00000X | Eyewear Supplier | 005834 (New York) | Secondary |
Mailing Address | Practice Location Address |
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64a Mott St, New York, NY 10013-4811 Ph: () - | 64a Mott St, New York, NY 10013-4811 Ph: (917) 968-1954 |