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Organization

MK VISION CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KALEENA MA (OWNER)
(718) 575-8288
Entity
Organization

Contact information

Practice address
10729 71ST AVE, FOREST HILLS, NY 11375-4724
(718) 575-8288
Mailing address
10729 71ST AVE, FOREST HILLS, NY 11375-4724

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03279398
NY
Enumeration date
06/05/2014
Last updated
06/06/2014
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