Organization
MAIN ST. OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AVROHOM A. MANES (MANAGER)
(845) 517-5459
Entity
Organization
Contact information
Practice address
39 MAIN ST, MONSEY, NY 10952-3005
(845) 517-5459
(845) 517-5460
Mailing address
39 MAIN ST, MONSEY, NY 10952-3005
(845) 517-5459
(845) 517-5460
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
004341-1
NY
332H00000X
Eyewear Supplier
—
—
Other
Enumeration date
12/19/2011
Last updated
01/04/2012
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