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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
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