Individual
MR. FRED HAMOU
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
3409 JEROME AVE, BRONX, NY 10467-1049
(718) 231-9000
(718) 405-9626
Mailing address
3409 JEROME AVE, BRONX, NY 10467-1049
(718) 231-9000
(718) 405-9626
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
3419
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00327000
—
NY
Enumeration date
11/10/2005
Last updated
07/08/2007
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