Organization
B'KLYN EYE BOUTIQUE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA BETHEA EDOUARD (PRESIDENT)
(718) 636-4316
Entity
Organization
Contact information
Practice address
572 ATLANTIC AVE, BROOKLYN, NY 11217-4912
(718) 636-4316
(718) 636-4372
Mailing address
572 ATLANTIC AVE, BROOKLYN, NY 11217-4912
(718) 636-4316
(718) 636-4372
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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