Individual
MOHAMED BAWADIKJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
280 S MAIN ST, NEW CITY, NY 10956-3327
(845) 826-8016
(845) 708-8215
Mailing address
11605 N LAMAR BLVD, AUSTIN, TX 78753-2658
(737) 222-6996
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009917
NY
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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