| |
70 E 10th St, Suite 1f, New York, NY 10003-5102 | |
(212) 673-5650 | |
(212) 673-7257 |
Full Name | |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 70 E 10th 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 |
---|---|---|---|
1255665691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | TUV007458-1 (New York) | Secondary |
207W00000X | Ophthalmology | 144469 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
70 E 10th St, Suite 1f, New York, NY 10003-5102 Ph: (212) 673-5650 | 70 E 10th St, Suite 1f, New York, NY 10003-5102 Ph: (212) 673-5650 |