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Organization

FLUSHING MALL OPTICAL, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MING KI YUE D.O. (PRESIDENT)
(718) 888-2691
Entity
Organization

Contact information

Practice address
13333 39TH AVE, F22 FLUSHING MALL, FLUSHING, NY 11354-4432
(718) 888-2691
(718) 888-2691
Mailing address
13333 39TH AVE, F22 FLUSHING MALL, FLUSHING, NY 11354-4432
(718) 888-2691
(718) 888-2691

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
005285
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02253249
NY
Enumeration date
08/12/2006
Last updated
12/10/2009
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