Individual
JOSH BISMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25-01 BROADWAY, ASTORIA, NY 11106
(347) 254-1625
(718) 721-1220
Mailing address
25-01 BROADWAY, ASTORIA, NY 11106
(347) 254-1625
(718) 721-1220
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
92888900
NY
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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