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C Clearly INC

Optometrist in Sunnyside, NY. Organization (NPI-2).

NPI number1013215037
StatusActive
Last updated in NPPESJul 21, 2022

Details

NPI
1013215037
Entity type
Organization (NPI-2)
Legal business name
C Clearly INC
Organization subpart
No
Enumeration date
Mar 1, 2011
Last updated
Jul 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X OptometristTUV 005958NYYes
152W00000X Optometrist––

Practice location

4814 Skillman Ave
Sunnyside, NY 11104-1026

Phone 347-848-0982

Mailing address

4814 Skillman Ave
Sunnyside, NY 11104-1026

Phone 917-687-8153

Authorized official

Christa J Cavallaro
President
9176878153

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