Organization
RUSSELL WOHL OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUSSELL MARK WOHL (OPTOMETRIST)
(631) 264-1515
Entity
Organization
Contact information
Practice address
85 BROADWAY, STE C, AMITYVILLE, NY 11701-2743
(631) 264-1515
(631) 264-2515
Mailing address
85 BROADWAY, STE C, AMITYVILLE, NY 11701-2743
(631) 264-1515
(631) 264-2515
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
01/07/2008
Last updated
05/08/2019
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