Organization
Q GARDENS HILLS OPTICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ALLAN DUBIN OPTICIAN (PRESIDENT OPTICIAN)
(718) 263-2020
Entity
Organization
Contact information
Practice address
72-59 KISSENA BLVD, FLUSHING, NY 11367
(718) 263-2020
(718) 263-2028
Mailing address
72-59 KISSENA BLVD, FLUSHING, NY 11367
(718) 263-2020
(718) 263-2028
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
156FX1800X
Optician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01215970
—
NY
Enumeration date
08/27/2006
Last updated
01/17/2008
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