Organization
TAG VISION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MADELIN M GEORGE (ADMINISRATOR)
(718) 462-0500
Entity
Organization
Contact information
Practice address
2830 CHURCH AVE, BROOKLYN, NY 11226-4106
(718) 462-0500
(718) 462-7997
Mailing address
2830 CHURCH AVE, BROOKLYN, NY 11226-4106
(718) 462-0500
(718) 462-7997
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02831501
—
NY
Enumeration date
08/17/2007
Last updated
08/17/2007
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