Bonafide Opticians Of Ave L INC
Durable Medical Equipment & Medical Supplies in Brooklyn, NY. Organization (NPI-2).
NPI number1083647705
StatusActive
Last updated in NPPESNov 5, 2012
Details
- NPI
- 1083647705
- Entity type
- Organization (NPI-2)
- Legal business name
- Bonafide Opticians Of Ave L INC
- Organization subpart
- No
- Enumeration date
- Jul 8, 2006
- Last updated
- Nov 5, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 005083-1 | NY | Yes |
Other names
- Bonafide Opticians (Doing Business As)
Practice location
9508 Avenue LBrooklyn, NY 11236-4811
Phone 718-444-3126 · Fax 718-444-3126
Mailing address
9508 Avenue LBrooklyn, NY 11236-4811
Phone 718-444-3126 · Fax 718-444-3126
Authorized official
Iqbal Venjara
Manager
7184443126
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