Organization
DESIGNER OPTICAL OF PELHAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABRAHAM BERTI CHOAI (PRES)
(718) 513-3577
Entity
Organization
Contact information
Practice address
21-96A WHITE PLAINS ROAD, BRONX, NY 10462
(718) 513-3577
Mailing address
21-96A WHITE PLAINS ROAD, BRONX, NY 10462
(718) 513-3577
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
6254
NY
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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