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688 Westwood Ave, River Vale, NJ 07675-6375 | |
(201) 664-5596 | |
(016) 642-5611 |
Full Name | |
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Type | Facility |
Speciality | Optometrist |
Location | 688 Westwood Ave, River Vale, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902518228 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | David L Rajkowski |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1386622140 PECOS PAC ID: 1456417161 Enrollment ID: I20090304000749 |
Provider Name | Robin H Semegran |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255494670 PECOS PAC ID: 8527198860 Enrollment ID: I20100611000526 |
Mailing Address | Practice Location Address |
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688 Westwood Ave, River Vale, NJ 07675-6375 Ph: (201) 664-5596 | 688 Westwood Ave, River Vale, NJ 07675-6375 Ph: (201) 664-5596 |