Organization
LYDIG OPTICAL LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ORLOFF (OPTICIAN)
(718) 829-2160
Entity
Organization
Contact information
Practice address
737 LYDIG AVE, BRONX, NY 10462-2103
(718) 829-2160
Mailing address
737 LYDIG AVE, BRONX, NY 10462-2103
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6908
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02243649
—
NY
Enumeration date
10/07/2006
Last updated
08/22/2020
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