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Organization
VIOLA KANEVSKY, O.D., P.L.L.C.
Active
Organization
VIOLA KANEVSKY, O.D., P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIOLA KANEVSKY O.D. (SOLE MEMBER)
(212) 580-2020
Entity
Organization
Contact information
Practice address
527 COLUMBUS AVE, NEW YORK, NY 10024-3402
(212) 580-2020
(212) 580-2023
Mailing address
527 COLUMBUS AVE, NEW YORK, NY 10024-3402
(212) 580-2020
(212) 580-2023
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T005443
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1077649
CIGNA PIN
NY
01
—
293690P
HIP PROVIDER ID
NY
01
—
462584
AETNA PIN
NY
01
—
5C5741
HEALTH NET PIN
NY
01
—
P674481
OXFORD PIN
NY
01
—
TUV005443
HIP BILLING ID
NY
Enumeration date
01/31/2007
Last updated
08/22/2020
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