Individual
MR. LEONARD CAPTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPHTHALMIC DISPENSER
Contact information
Practice address
245 MAMARONECK AVE, MAMARONECK, NY 10543-2602
(914) 698-2111
(914) 381-1158
Mailing address
245 MAMARONECK AVE, MAMARONECK, NY 10543-2602
(914) 698-2111
(914) 381-1158
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C004354
NY
Other
Enumeration date
12/29/2006
Last updated
07/09/2007
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