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Organization

SHADES OF BROOKLYN

Active
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Organization

SHADES OF BROOKLYN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARCIEN PIERRE (OWNER)
(718) 342-4300
Entity
Organization

Contact information

Practice address
1619 PITKIN AVE, BROOKLYN, NY 11212-5045
(718) 342-4300
Mailing address
1619 PITKIN AVE, BROOKLYN, NY 11212-5045
(718) 342-4300

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01092213
NY
Enumeration date
03/31/2017
Last updated
03/31/2017
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