Individual
DR. OSCAR LEIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
22 W 13TH ST, NEW YORK, NY 10011-7902
(212) 807-0019
Mailing address
22 W 13TH ST, NEW YORK, NY 10011-7902
(212) 807-0019
(212) 727-2395
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008292
NY
390200000X
Student in an Organized Health Care Education/Training Program
TUV008292-1
NY
Other
Enumeration date
07/04/2015
Last updated
08/02/2016
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