Individual
DR. ABRAHAM JACOB GOTTFRIED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2856 3RD AVE, BRONX, NY 10455-2726
(718) 585-5100
(718) 292-0805
Mailing address
2856 3RD AVE, BRONX, NY 10455-2726
(718) 585-5100
(718) 292-0805
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV0042891
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00787426
—
NY
Enumeration date
12/14/2006
Last updated
09/09/2015
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