Organization
DR RICHARD E YOUNG AND DR ARLENE L VAZQUEZ YOUNG PC
Active
Other names
Main Street Optometry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD E YOUNG O.D. (PRESIDENT)
(631) 757-6190
Entity
Organization
Contact information
Practice address
89 MAIN ST, NORTHPORT, NY 11768-1742
(631) 757-6190
(631) 757-4759
Mailing address
89 MAIN ST, NORTHPORT, NY 11768-1742
(631) 757-6190
(631) 757-4759
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004955-1
NY
Other
Enumeration date
04/28/2008
Last updated
08/03/2011
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