Organization
JEFFREY L. WILLIG, MD
Active
Other names
Burke Lane Optical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY LLOYD WILLIG MD (OWNER)
(516) 921-8337
Entity
Organization
Contact information
Practice address
4 BURKE LN, SYOSSET, NY 11791-3931
(516) 921-8337
(516) 921-1389
Mailing address
4 BURKE LN, SYOSSET, NY 11791-3931
(516) 921-8337
(516) 921-1389
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
007090
NY
Other
Enumeration date
07/03/2007
Last updated
04/29/2008
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