Organization
E&I DANELLI DIAMONDS INC
Active
Other names
Cohen's Fashion Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ILAN DAVIDOV (PRESIDENT)
(718) 768-3939
Entity
Organization
Contact information
Practice address
298 7TH AVE, STOREFRONT, BROOKLYN, NY 11215-3621
(718) 768-3939
Mailing address
298 7TH AVE, BROOKLYN, NY 11215-3621
(718) 768-3939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004384
NY
332H00000X
Eyewear Supplier
008887-1
NY
Other
Enumeration date
12/23/2008
Last updated
11/13/2012
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