Organization
EXCEL OPTICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VYACHESLAV PINKHASOV (EXECUTIVE DIRECTOR)
(718) 755-0656
Entity
Organization
Contact information
Practice address
4348 COLDEN ST, FLUSHING, NY 11355-3934
(718) 755-0656
(888) 500-0406
Mailing address
4348 COLDEN ST, FLUSHING, NY 11355-3934
(718) 755-0656
(888) 500-0406
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007973-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02942065
—
NY
Enumeration date
06/26/2007
Last updated
11/19/2012
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