# DA OPTICAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** cohen fashion optical
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669681706
- **Authorized official:** LISA DENUNIZOE (MANAGER)
- **Authorized official phone:** (718) 631-3699

## Contact information

- **Practice address:** 21151 26TH AVE, BAYSIDE, NY 11360-2492
- **Practice address phone:** (718) 631-3699
- **Practice address fax:** (718) 631-7319
- **Mailing address:** 21151 26TH AVE, BAYSIDE, NY 11360-2492
- **Mailing address phone:** (718) 631-3699
- **Mailing address fax:** (718) 631-7319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | T003266-1 | NY | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 06/05/2009