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Organization

MK VISION CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KALEENA MA (EXECUTIVE ADMINISTRATOR)
(212) 267-1260
Entity
Organization

Contact information

Practice address
107-29 71ST AVE., FOREST HILLS, NY 11375
(718) 575-8288
Mailing address
10729 71ST AVE, FOREST HILLS, NY 11375-4724

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1396931689
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1396931689
NY
Enumeration date
07/28/2010
Last updated
07/28/2010
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