Organization
GREENPOINT EYE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL KISELOW O.D. (OWNER)
(718) 389-0333
Entity
Organization
Contact information
Practice address
909 MANHATTAN AVE, BROOKLYN, NY 11222-5960
(718) 389-0333
(718) 389-0400
Mailing address
909 MANHATTAN AVE, BROOKLYN, NY 11222-5960
(718) 389-0333
(718) 389-0400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006648-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02896642
—
NY
Enumeration date
12/22/2014
Last updated
12/22/2014
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