Organization
THE EYE STUDIO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINA M ESCOBAR OD (PRESIDENT)
(845) 647-2020
Entity
Organization
Contact information
Practice address
5 LIBERTY ST, ELLENVILLE, NY 12428-1430
(845) 647-2020
(845) 647-4734
Mailing address
PO BOX 468, 5 LIBERTY ST., ELLENVILLE, NY 12428-0468
(845) 647-2020
(845) 647-4734
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
VUT0059141
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942339387
NPI DR. LINA M. ESCOBAR
NY
Enumeration date
04/12/2013
Last updated
04/12/2013
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