# UNION SQUARE EYE CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Union Square Eye Care - Harlem
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285105866
- **Authorized official:** DR. HERBERT JAY WISNICKI MD (OWNER/MEDICAL DIRECTOR)
- **Authorized official phone:** (212) 844-2020

## Contact information

- **Practice address:** 1815 MADISON AVENUE, NEW YORK, NY 10035
- **Practice address phone:** (212) 844-2020
- **Practice address fax:** (212) 844-8221
- **Mailing address:** 235 PARK AVE S FL 2, NEW YORK, NY 10003-1405
- **Mailing address phone:** (212) 844-2020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/08/2018
- **Last updated:** 05/21/2019