| |
699a Old Country Rd, Huntington Station, NY 11746-4613 | |
(631) 271-3520 | |
(631) 271-3706 |
Full Name | |
---|---|
Type | Facility |
Speciality | Technician/technologist - Optician |
Location | 699a Old Country Rd, Huntington Station, New York |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447404587 | NPI | - | NPPES |
03167017 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 4400 (New York) | Secondary |
156FX1800X | Technician/technologist - Optician | 5410 (New York) | Primary |
Mailing Address | Practice Location Address |
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699a Old Country Rd, Huntington Station, NY 11746-4613 Ph: (631) 271-3520 | 699a Old Country Rd, Huntington Station, NY 11746-4613 Ph: (631) 271-3520 |