Organization
UNION SQUARE EYE CENTER LLC
Active
Other names
Union Square Eye Care - Harlem
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERBERT JAY WISNICKI MD (OWNER/MEDICAL DIRECTOR)
(212) 844-2020
Entity
Organization
Contact information
Practice address
1815 MADISON AVENUE, NEW YORK, NY 10035
(212) 844-2020
(212) 844-8221
Mailing address
235 PARK AVE S FL 2, NEW YORK, NY 10003-1405
(212) 844-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
12/08/2018
Last updated
05/21/2019
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