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Organization

BAYVIEW OPTICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LILIYA PILIPENKO (OPTICIAN)
(718) 449-7164
Entity
Organization

Contact information

Practice address
2020 86TH ST, BROOKLYN, NY 11214-3204
(718) 449-7164
Mailing address
2020 86TH ST, BROOKLYN, NY 11214-3204
(718) 449-7164

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007565
NY
156FX1800X
Optician
006939-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01676851
NY
Enumeration date
05/07/2006
Last updated
05/25/2012
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