Organization
STATEN EYE LAND 2 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN FRUCHTMAN OPTICIAN (OWNER)
(714) 448-7676
Entity
Organization
Contact information
Practice address
1803 VICTORY BLVD, STATEN ISLAND, NY 10314-3515
(718) 448-7676
(718) 448-7675
Mailing address
1803 VICTORY BLVD, STATEN ISLAND, NY 10314-3515
(718) 448-7676
(718) 448-7675
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
004036-1
NY
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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