Organization
BRENTWOOD VISION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANK S LOFORTE (OWNER)
(631) 273-3335
Entity
Organization
Contact information
Practice address
601 SUFFOLK AVENUE, SUITE 1, BRENTWOOD, NY 11717-4309
(631) 273-3335
(631) 273-0310
Mailing address
601 SUFFOLK AVENUE, SUITE 1, BRENTWOOD, NY 11717-4309
(631) 273-3335
(631) 273-0310
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
NY67930
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00461867
—
NY
Enumeration date
12/11/2006
Last updated
12/11/2007
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