Individual
DR. MARK JOEL BASHOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
845 NEWBURG AVE, VALLEY STREAM, NY 11581-3107
(516) 791-8254
(516) 791-8254
Mailing address
845 NEWBURG AVE, VALLEY STREAM, NY 11581-3107
(516) 791-8254
(516) 791-8254
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003332-1
NY
Other
Enumeration date
12/18/2006
Last updated
08/22/2014
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