Individual
PHYLLIS LAMONACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
726 BROADWAY, SUITE 472, NEW YORK, NY 10003-9502
(212) 443-1260
Mailing address
635 LORIMER ST, BROOKLYN, NY 11211-2205
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
COO5088-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COO5088-1
OPHTHALMIC DISPENSER
NY
Enumeration date
05/02/2007
Last updated
07/08/2007
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