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Organization

ELMHURST 88 LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
QIANG ZHONG (MANAGER)
(347) 808-8769
Entity
Organization

Contact information

Practice address
8308 BROADWAY, ELMHURST, NY 11373-5734
(347) 808-8769
(347) 808-8769
Mailing address
8308 BROADWAY, ELMHURST, NY 11373-5734
(347) 808-8769
(347) 808-8769

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
NY
Enumeration date
01/27/2023
Last updated
01/27/2023
Update your record

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