Organization
NEW WOODSIDE OPTICAL CORP
Active
Other names
Pearle Vision
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA KATSEV OD (OWNER, PRESIDENT)
(718) 205-9760
Entity
Organization
Contact information
Practice address
4811 QUEENS BLVD, WOODSIDE, NY 11377-4450
(718) 205-9760
(718) 205-9738
Mailing address
4811 QUEENS BLVD, WOODSIDE, NY 11377-4450
(718) 205-9760
(718) 205-9738
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006380
NY
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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