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Individual

KENNETH WEXLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1036 WESTCHESTER AVE, OPTICAL 1500, BRONX, NY 10459
(718) 542-5400
Mailing address
399 E 149 ST, OPTICAL CITY EXPRESS, BRONX, NY 10455
(718) 292-9500

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
002699
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00533582
NY
Enumeration date
02/23/2007
Last updated
07/08/2007
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