Individual
DR. MARTIN A AVILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D
Contact information
Practice address
229 E 79TH ST, SUITE 1L, NEW YORK, NY 10021-0866
(212) 861-6200
(212) 288-6545
Mailing address
28 MILLER CIR, ARMONK, NY 10504-1361
(212) 861-6200
(212) 288-6545
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
VUT005050-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023167
UNITED HEALTHCARE
NY
01
—
3C9951
HEALTHNET
NY
01
—
5173906
DAVIS VISION
NY
01
—
926275
BLOCK VISION
NY
Enumeration date
07/13/2006
Last updated
07/08/2007
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