Organization
BROADWAY EYECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL FAYNBLUT (PRESIDENT)
(718) 543-2020
Entity
Organization
Contact information
Practice address
5571 BROADWAY, BRONX, NY 10463-5230
(718) 543-2020
Mailing address
5571 BROADWAY, BRONX, NY 10463-5230
(718) 543-2020
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
145655-1
NY
Other
Enumeration date
10/19/2009
Last updated
07/06/2020
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