Organization
IDOX INC.
Active
Other names
Sterling Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH BISTRICER O.D. (OPTOMETRIST)
(212) 628-8886
Entity
Organization
Contact information
Practice address
1125 LEXINGTON AVE, NEW YORK, NY 10075-0429
(212) 628-8886
Mailing address
1125 LEXINGTON AVE, NEW YORK, NY 10075-0429
(212) 628-8886
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004092
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01773808
—
NY
Enumeration date
03/19/2008
Last updated
03/19/2008
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