Manuel Berrios, nys lic. 007961-1
Technician/Technologist, Optician in Bronx, NY. Individual provider (NPI-1).
NPI number1083808778
StatusActive
Last updated in NPPESSep 5, 2007
Details
- NPI
- 1083808778
- Entity type
- Individual (NPI-1)
- Name
- Manuel Berrios
- Credential
- nys lic. 007961-1
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 5, 2007
- Last updated
- Sep 5, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 156FX1800X | Technician/Technologist, Optician | 007961-1 | NY | Yes |
Practice location
4555 3rd AveBronx, NY 10458-7805
Phone 347-270-4553 · Fax 347-271-5800
Mailing address
4555 3rd AveBronx, NY 10458-7805
Phone 347-270-4553 · Fax 347-271-5800
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