Organization
FLATBUSH VISION EXPRESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SHUR (SECRETARY)
(718) 692-6266
Entity
Organization
Contact information
Practice address
5400 AVENUE U, 2ND FLOOR ENTANCE, BROOKLYN, NY 11234
(718) 692-6266
Mailing address
5400 AVENUE U, BROOKLYN, NY 11234
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144531336
—
NY
Enumeration date
06/23/2010
Last updated
05/12/2011
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