Organization
PARK HILL OPTICAL, INC
Active
Other names
Envisage
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP GIAMBALVO (PRESIDENT)
(914) 375-5775
Entity
Organization
Contact information
Practice address
819 YONKERS AVE, YONKERS, NY 10704-3052
(914) 375-5775
(914) 476-5021
Mailing address
819 YONKERS AVE, YONKERS, NY 10704-3052
(914) 375-5775
(914) 476-5021
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
004106-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02116301
—
NY
Enumeration date
06/21/2006
Last updated
09/01/2015
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