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Organization

CENTER STAGE OPTIQUE LLC

Active
Other names
Jeff & Son Optique LLC
Organization subpart
No

Provider details

NPI number
Authorized official
GREGORY FREIDUS (PRESIDENT)
(917) 656-2290
Entity
Organization

Contact information

Practice address
45 7TH AVE, NEW YORK, NY 10011-6601
(917) 656-2290
Mailing address
175 W 90TH ST APT 9F, NEW YORK, NY 10024-1215
(917) 656-2290

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
C009255
NY

Other

Enumeration date
06/08/2016
Last updated
06/08/2016
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