Individual
ELI DAVID KASSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5520 GLENWOOD RD, BROOKLYN, NY 11234
(718) 763-7777
Mailing address
5520 GLENWOOD RD, BROOKLYN, NY 11234
(718) 763-7777
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003881
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00996901
—
NY
Enumeration date
01/09/2007
Last updated
07/08/2007
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