Organization
MARC MISHAN O.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC MISHAN O.D. (MANAGER)
(718) 738-3700
Entity
Organization
Contact information
Practice address
8227 153RD AVE, HOWARD BEACH, NY 11414-1751
(718) 738-3700
Mailing address
8227 153RD AVE, HOWARD BEACH, NY 11414-1751
(718) 738-3700
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/26/2007
Last updated
01/11/2008
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