Individual
MANUEL BERRIOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NYS LIC. 007961-1
Contact information
Practice address
4555 3RD AVE, BRONX, NY 10458-7805
(347) 270-4553
(347) 271-5800
Mailing address
4555 3RD AVE, BRONX, NY 10458-7805
(347) 270-4553
(347) 271-5800
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007961-1
NY
Other
Enumeration date
09/05/2007
Last updated
09/05/2007
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