Individual
CARLOS EDUARDO HERNANDEZ - REYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICENSED OPTICIAN
Contact information
Practice address
1571 SAINT NICHOLAS AVE, GROUND, NEW YORK, NY 10040-4261
(212) 543-3937
(212) 543-3932
Mailing address
1571 SAINT NICHOLAS AVE, GROUND, NEW YORK, NY 10040-4261
(212) 543-3937
(212) 543-3932
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008564-1
NY
Other
Enumeration date
04/06/2017
Last updated
05/09/2017
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