Organization
C CLEARLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTA J CAVALLARO OD (PRESIDENT)
(917) 687-8153
Entity
Organization
Contact information
Practice address
4814 SKILLMAN AVE, SUNNYSIDE, NY 11104-1026
(347) 848-0982
Mailing address
4814 SKILLMAN AVE, SUNNYSIDE, NY 11104-1026
(917) 687-8153
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV 005958
NY
152W00000X
Optometrist
—
—
Other
Enumeration date
03/01/2011
Last updated
07/21/2022
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