Organization
NYC OPTICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTA ANDROSHCHUK (OWNER)
(718) 642-3526
Entity
Organization
Contact information
Practice address
531 TARGEE ST, STATEN ISLAND, NY 10304-3501
(646) 837-5448
Mailing address
1354 PENNSYLVANIA AVE, BROOKLYN, NY 11239-2111
(718) 642-3526
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
03/10/2021
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