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Teleoptometric Service Nj, PC

Optometrist in New Hyde Park, NY. Organization (NPI-2).

NPI number1164045605
StatusActive
Last updated in NPPESMay 19, 2020

Details

NPI
1164045605
Entity type
Organization (NPI-2)
Legal business name
Teleoptometric Service Nj, PC
Organization subpart
No
Enumeration date
May 19, 2020
Certification date
May 19, 2020
Last updated
May 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist––Yes

Practice location

1979 Marcus Ave Ste 206
New Hyde Park, NY 11042-1002

Phone 516-243-8708 · Fax 516-243-8724

Mailing address

1979 Marcus Ave Ste 206
New Hyde Park, NY 11042-1002

Phone 516-243-8708 · Fax 516-243-8724

Authorized official

Laura Basile
Manager
5162438708

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