Organization
E & A OPTICAL INC
Active
Other names
Cohen's Fashion Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANA GERSHOVICH (OWNER)
(631) 361-7310
Entity
Organization
Contact information
Practice address
324 SMITH HAVEN MALL, LAKE GROVE, NY 11755-1201
(631) 361-7310
(718) 646-1330
Mailing address
324 SMITH HAVEN MALL, LAKE GROVE, NY 11755-1201
(631) 361-7310
(718) 646-1330
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/24/2014
Last updated
09/27/2014
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