Organization
EYE MAX INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL GANTMAN OPTICIAN-OPHTHALMIC (OPTICIAN-EYEWEAR SUPPLIER-OWNER)
(516) 352-2316
Entity
Organization
Contact information
Practice address
1562 UNION TPK, NEW HYDE PARK, NY 11040
(516) 352-2316
(516) 352-4568
Mailing address
1562 UNION TPK, NEW HYDE PARK, NY 11040
(516) 352-2316
(516) 352-4568
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
005042
NY
Other
Enumeration date
12/07/2009
Last updated
03/30/2010
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