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Organization

NORTH SHORE OPTOMETRIC GROUP, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARINA RAQUEL ROSA O.D. (SECRETARY)
(516) 627-5656
Entity
Organization

Contact information

Practice address
1129 NORTHERN BLVD, SUITE 100, MANHASSET, NY 11030-3022
(516) 627-5656
(516) 627-5672
Mailing address
1129 NORTHERN BLVD, SUITE 100, MANHASSET, NY 11030-3022
(516) 627-5656
(516) 627-5672

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NY

Other

Enumeration date
11/29/2010
Last updated
12/01/2010
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