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Organization

M&J OPTICAL INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MAX HERNANDEZ OPTICIAN (OWNER/PRESIDENT)
(917) 622-0521
Entity
Organization

Contact information

Practice address
8402 ROOSEVELT AVE, SUITE #8, JACKSON HEIGHTS, NY 11372-7341
(917) 622-0521
Mailing address
8402 ROOSEVELT AVE, SUITE #8, JACKSON HEIGHTS, NY 11372-7341
(917) 622-0521

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008307
NY

Other

Enumeration date
05/12/2009
Last updated
05/12/2009
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