Individual
MR. DEREK C LINDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
10423 QUEENS BLVD, FOREST HILLS, NY 11375-3757
(718) 275-2500
(718) 275-9654
Mailing address
10423 QUEENS BLVD, FOREST HILLS, NY 11375-3757
(718) 275-2500
(718) 275-9654
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
003810-0
NY
Other
Enumeration date
11/10/2005
Last updated
11/14/2007
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