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Organization

MI PATITO LLC

Active
Other names
Cohen's Fashion Optical
Organization subpart
No

Provider details

NPI number
Authorized official
MARTIN PONCE (PRESIDENT)
(631) 225-5828
Entity
Organization

Contact information

Practice address
350 MONTAUK HWY, LINDENHURST, NY 11757-6137
(631) 225-5828
(631) 225-5271
Mailing address
350 MONTAUK HWY, LINDENHURST, NY 11757-6137
(631) 225-5828
(631) 225-5271

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Enumeration date
03/27/2024
Last updated
03/27/2024
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