Max Arthur Paschall-zimbel, OD | |
4504 46th St, Sunnyside, NY 11104-1702 | |
(718) 784-2580 | |
Not Available |
Full Name | Max Arthur Paschall-zimbel |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 4504 46th St, Sunnyside, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750994059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TVP009173 (New York) | Primary |
Provider Name | Lens Lab Express Of Graham Avenue Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1043370620 PECOS PAC ID: 0840571089 Enrollment ID: O20170103000398 |
Provider Name | Lens Lab Express Of Fordham Road Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366539967 PECOS PAC ID: 2365723384 Enrollment ID: O20170106000956 |
Mailing Address | Practice Location Address |
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Max Arthur Paschall-zimbel, OD 4504 46th St, Sunnyside, NY 11104-1702 Ph: (718) 784-2580 | Max Arthur Paschall-zimbel, OD 4504 46th St, Sunnyside, NY 11104-1702 Ph: (718) 784-2580 |
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