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Organization

A.M.C WHITE LLC

Active
Other names
Eye Care Specifics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AUSTIN MATTHEW CIAZ WHITE OD MHA (PRESIDENT)
(917) 341-3845
Entity
Organization

Contact information

Practice address
25 E 233RD ST, BRONX, NY 10470-2207
(718) 405-7211
(718) 405-7599
Mailing address
25 E 233RD ST, BRONX, NY 10470-2207
(718) 405-7211
(718) 405-7599

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01503153
NY
01
1528012333
PERSONAL NPI
NY
Enumeration date
01/27/2021
Last updated
01/27/2021
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