Mdp Optometry Pc | |
750 Columbus Ave, New York, NY 10025-6464 | |
(510) 545-2020 | |
Not Available |
Full Name | Mdp Optometry Pc |
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Type | Facility |
Speciality | Optometrist |
Location | 750 Columbus Ave, New York, 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 |
---|---|---|---|
1013587880 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Matthew Pupparo |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1861845570 PECOS PAC ID: 8123307642 Enrollment ID: I20161128000270 |
Mailing Address | Practice Location Address |
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Mdp Optometry Pc 750 Columbus Ave, New York, NY 10025-6464 Ph: (510) 545-2020 | Mdp Optometry Pc 750 Columbus Ave, New York, NY 10025-6464 Ph: (510) 545-2020 |
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