Organization · NPI-2

Antoine Copty Od PC

Optometrist, Corneal and Contact Management · Astoria, NY

NPI number1144544081
StatusActive
Last updated in NPPESMar 29, 2011

Details

NPI
1144544081
Entity type
Organization (NPI-2)
Legal business name
Antoine Copty Od PC
Organization subpart
No
Enumeration date
Mar 22, 2010
Last updated
Mar 29, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152WC0802X Optometrist, Corneal and Contact Management007503NYYes

Practice location

2116 35th St
1g
Astoria, NY 11105-2147

Phone 713-724-8353 · Fax 186-654-3570

Mailing address

2116 35th St
1g
Astoria, NY 11105-2147

Phone 713-724-8353 · Fax 186-654-3570

Authorized official

Antoine Copty
Optometrist
7137248353

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