Organization
MOUNT TABOR MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELI INZLICHT-SPREI MD (OWNER)
(917) 415-5147
Entity
Organization
Contact information
Practice address
1435 64TH ST # 2A, BROOKLYN, NY 11219-5733
(212) 739-1799
Mailing address
5314 16TH AVE STE 197, BROOKLYN, NY 11204-1425
(212) 739-1799
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/18/2023
Last updated
10/26/2023
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