Organization
LOOKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VITALY GUMENIK OPTICIAN (OPTICIAN)
(212) 608-2150
Entity
Organization
Contact information
Practice address
295 GREENWICH ST, NEW YORK, NY 10007-1049
(212) 608-2150
Mailing address
295 GREENWICH ST, NEW YORK, NY 10007-1049
(212) 608-2150
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008166-1
NY
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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