Howard Randolph Ellison II, optician
Technician/Technologist, Optician in Bronx, NY. Individual provider (NPI-1).
NPI number1023325107
StatusActive
Last updated in NPPESSep 9, 2010
Details
- NPI
- 1023325107
- Entity type
- Individual (NPI-1)
- Name
- Mr. Howard Randolph Ellison II
- Credential
- optician
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2010
- Last updated
- Sep 9, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 008765 | NY | Yes |
Practice location
132 E Fordham RdBronx, NY 10468-5408
Phone 718-561-1600 · Fax 718-561-1611
Mailing address
132 E Fordham RdBronx, NY 10468-5408
Phone 718-561-1600 · Fax 718-561-1611
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All 43 Optician providers in Bronx · All 38,045 providers in Bronx
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