Elmhurst 88 LLC
Optometrist in Elmhurst, NY. Organization (NPI-2).
NPI number1336855832
StatusActive
Last updated in NPPESJan 27, 2023
Details
- NPI
- 1336855832
- Entity type
- Organization (NPI-2)
- Legal business name
- Elmhurst 88 LLC
- Organization subpart
- No
- Enumeration date
- Jan 27, 2023
- Certification date
- Jan 27, 2023
- Last updated
- Jan 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
8308 BroadwayElmhurst, NY 11373-5734
Phone 347-808-8769 · Fax 347-808-8769
Mailing address
8308 BroadwayElmhurst, NY 11373-5734
Phone 347-808-8769 · Fax 347-808-8769
Authorized official
Qiang Zhong
Manager
3478088769
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