Organization
KINGSBORO VISION INC.
Active
Organization
KINGSBORO VISION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK JOEL BASHOVER (PRESIDENT)
(718) 236-4477
Entity
Organization
Contact information
Practice address
6304 18TH AVE, BROOKLYN, NY 11204-2937
(718) 236-4477
(718) 236-0113
Mailing address
6304 18TH AVE, BROOKLYN, NY 11204-2937
(718) 236-0113
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
01/18/2008
Last updated
02/26/2008
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