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Organization

BELLEROSE OPTICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID MICHAEL LEVY OPTICIAN (DISPENSING OPTICIAN)
(516) 437-3839
Entity
Organization

Contact information

Practice address
24702 JERICHO TPKE, FLORAL PARK, NY 11001-4001
(516) 437-3839
(516) 437-3839
Mailing address
24702 JERICHO TPKE, FLORAL PARK, NY 11001-4001
(516) 437-3839
(516) 437-3839

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
005764-1
NY

Other

Enumeration date
01/29/2007
Last updated
06/17/2008
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