Organization · NPI-2

B.A.M Optical Corp

Clinic/Center · Astoria, NY

NPI number1023358207
StatusActive
Last updated in NPPESFeb 25, 2013

Details

NPI
1023358207
Entity type
Organization (NPI-2)
Legal business name
B.A.M Optical Corp
Organization subpart
No
Enumeration date
Feb 25, 2013
Last updated
Feb 25, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

3418 Broadway
Astoria, NY 11106-1112

Phone 718-204-5037

Mailing address

3418 Broadway
Astoria, NY 11106-1112

Authorized official

Janeth Arcila
Manager
7182045037

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