Organization
MDA OPTICAL LAB CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID LITOVSKY (OWNER)
(718) 436-1848
Entity
Organization
Contact information
Practice address
119 CHURCH AVE, BROOKLYN, NY 11218-3917
(718) 436-1848
Mailing address
1797 STILLWELL AVE, BROOKLYN, NY 11223-1037
(718) 436-1848
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/03/2012
Last updated
10/03/2012
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