Organization
PEN OPTICAL AND ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG BRIAN TISCH O.D. (OPTOMETRIST)
(212) 279-4826
Entity
Organization
Contact information
Practice address
450 7TH AVE, SUITE 300, NEW YORK, NY 10123-0101
(212) 279-4826
(212) 563-3047
Mailing address
450 7TH AVE, SUITE 300, NEW YORK, NY 10123-0101
(212) 279-4826
(212) 563-3047
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV0056721
NY
Other
Enumeration date
11/28/2007
Last updated
06/11/2013
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