Organization
20 20 OPTOMETRY SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH YUSUPOV OD (OD)
(718) 418-0300
Entity
Organization
Contact information
Practice address
6240 FOREST AVE, RIDGEWOOD, NY 11385-1929
(718) 418-0300
(718) 418-0301
Mailing address
10231 65TH RD, FOREST HILLS, NY 11375-1740
(718) 418-0300
(718) 418-0301
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
008499
NY
Other
Enumeration date
07/06/2017
Last updated
11/03/2017
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