Individual
DR. JUSTIN BAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
682 UNION ST, PARK SLOPE EYE, BROOKLYN, NY 11215-1161
(347) 560-8393
(888) 850-6294
Mailing address
682 UNION ST, PARK SLOPE EYE, BROOKLYN, NY 11215-1161
(347) 560-8393
(888) 850-6294
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
006867
NY
152W00000X
Optometrist
8627
TX
Other
Enumeration date
05/09/2007
Last updated
02/04/2016
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