Organization
CHELSEE OPTICAL, INC.
Active
Other names
Cohen's Fashion Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLINTON SQUIRES (OWNER)
(212) 996-2676
Entity
Organization
Contact information
Practice address
86 W 125TH ST, NEW YORK, NY 10027-4502
(212) 996-2676
(212) 996-3051
Mailing address
86 W 125TH ST, NEW YORK, NY 10027-4502
(212) 996-2676
(212) 996-3051
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV06336-1
NY
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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