Organization
CORONA OPTOMETRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEZHMAN HOURIZADEH O.D. (PRESIDENT)
(718) 242-1333
Entity
Organization
Contact information
Practice address
103-06 ROOSEVELT AVENUE, CORONA, NY 11368
(718) 424-1333
(718) 424-1330
Mailing address
103-06 ROOSEVELT AVENUE, CORONA, NY 11368
(718) 424-1333
(718) 424-1330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007045
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02811172
—
NY
Enumeration date
11/28/2007
Last updated
06/19/2012
Update your record
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