Organization
CITY VISION CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALYSHA KIM JACOBS OD (OPTOMETRIST)
(917) 445-9566
Entity
Organization
Contact information
Practice address
171 W 73RD ST, 4, NEW YORK, NY 10023-2944
(917) 445-9566
Mailing address
171 W 73RD ST, 4, NEW YORK, NY 10023-2944
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV0005955T
NY
Other
Enumeration date
09/14/2015
Last updated
04/07/2016
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