Organization
MOSHOLU OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD J GREENSPAN (PRESIDENT)
(718) 654-5860
Entity
Organization
Contact information
Practice address
3490 JEROME AVE, BRONX, NY 10467
(718) 654-5860
(718) 654-3449
Mailing address
3490 JEROME AVE, BRONX, NY 10467
(718) 654-5860
(718) 654-3449
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02385142
—
NY
Enumeration date
05/13/2008
Last updated
05/13/2008
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