Individual
ALAN FRUCHTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
1803 VICTORY BLVD, STATEN ISLAND, NY 10314-3515
(718) 448-7676
(718) 448-7675
Mailing address
1803 VICTORY BLVD, STATEN ISLAND, NY 10314-3515
(718) 448-7676
(718) 448-7675
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4036
NY
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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