Organization
BAINBRIDGE OPTICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GALINA ORLOFF (OWNER)
(718) 655-6040
Entity
Organization
Contact information
Practice address
3083 BAINBRIDGE AVE, BRONX, NY 10467
(718) 655-6040
(718) 655-0348
Mailing address
3083 BAINBRIDGE AVE, BRONX, NY 10467
(718) 655-6040
(718) 655-0348
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007111
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02864762
—
NY
Enumeration date
09/19/2007
Last updated
08/26/2022
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