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Individual

DR. GUY . BISMUTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
267 COLUMBUS AVE, TUCKAHOE, NY 10707-2501
(914) 395-1757
(914) 395-1757
Mailing address
267 COLUMBUS AVE, TUCKAHOE, NY 10707-2501
(914) 395-1757
(914) 395-1757

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003417-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00329433
NY
Enumeration date
11/28/2006
Last updated
07/08/2007
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