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Individual

DR. MATTHEW DAVID BOVENZI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
33 W. 42ND ST., SUNY COLLEGE OF OPTOMETRY, NEW YORK, NY 10036-8005
(212) 938-4000
Mailing address
33 W. 42ND ST., SUNY COLLEGE OF OPTOMETRY, NEW YORK, NY 10036-8005
(212) 938-4000

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008155
NY

Other

Enumeration date
06/18/2014
Last updated
06/18/2014
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