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Organization

D I OPTICAL INC

Active
Other names
cohen fashion optical
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DANNY KOGAN (MANAGER)
(631) 665-4700
Entity
Organization

Contact information

Practice address
1701 SUNRISE HWY, BAY SHORE, NY 11706-6091
(631) 665-4700
(631) 665-4702
Mailing address
1701 SUNRISE HWY, BAY SHORE, NY 11706-6091
(631) 665-4700
(631) 665-4702

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
5243-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02006339
NY
Enumeration date
05/22/2007
Last updated
07/28/2009
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