Organization
COCOS VISION DESIGNER OPTICAL
Active
Parent organization
COCOS VISION DESIGNER OPTICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
COCOS VISION DESIGNER OPTICAL
Authorized official
ETHAN FARAONOV (MANAGER)
(516) 727-5070
Entity
Organization
Contact information
Practice address
3185 STEINWAY ST, ASTORIA, NY 11103-3908
(718) 685-2009
Mailing address
3185 STEINWAY ST, ASTORIA, NY 11103-3908
(718) 685-2009
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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