Organization
KEW GARDENS OPTOMETRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEZHMAN HOURIZADEH O.D. (PRESIDENT)
(718) 263-2020
Entity
Organization
Contact information
Practice address
10304 ROOSEVELT AVE, CORONA, NY 11368-2330
(718) 424-1333
(718) 424-1330
Mailing address
10304 ROOSEVELT AVE, CORONA, NY 11368-2330
(718) 424-1333
(718) 424-1330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03287845
—
NY
Enumeration date
09/25/2008
Last updated
04/19/2023
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