Organization
GREEN VISION OPTICIAN P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZA IOSILEVICH OPTICIAN (PRESIDENT)
(347) 757-5475
Entity
Organization
Contact information
Practice address
404 EAST 117 ST, #1, NY, NY 10035
(917) 688-7439
Mailing address
404 EAST 117 ST, #1, NY, NY 10035
(917) 688-7439
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
009190-1
NY
Other
Enumeration date
02/26/2015
Last updated
02/26/2015
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