Organization
FIFTH AVENUE OPTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GORMAN M.D. (PRESIDENT)
(212) 517-4500
Entity
Organization
Contact information
Practice address
1115 5TH AVE, NEW YORK, NY 10128-0100
(212) 517-4500
(212) 517-4116
Mailing address
1115 5TH AVE, NEW YORK, NY 10128-0100
(212) 517-4500
(212) 517-4116
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
11/10/2008
Last updated
11/12/2008
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