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Organization

EYES ON ISLAND INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ELENA RAIKHERT (OWNER)
(718) 948-1353
Entity
Organization

Contact information

Practice address
150 GREAVES LN, D, STATEN ISLAND, NY 10308-2173
(718) 948-1353
(718) 948-1353
Mailing address
150 GREAVES LN, D, STATEN ISLAND, NY 10308-2173
(718) 948-1353
(718) 948-1353

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
7918
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02354763
NY
Enumeration date
01/07/2007
Last updated
01/22/2013
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