Individual
MR. LARRY B GREENSPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
138 CEDARHURST AVE, CEDARHURST, NY 11516-2130
(516) 569-2888
(516) 569-2596
Mailing address
138 CEDARHURST AVE, CEDARHURST, NY 11516-2130
(516) 569-2888
(516) 569-2596
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4779
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OP1364
PROVIDER ID# FOR EYEMED
NY
Enumeration date
03/20/2007
Last updated
02/12/2013
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