Organization
ALEXANDRA & ETHAN, INC.
Active
Other names
Cohen's Fashion Optical
Organization subpart
No
Provider details
NPI number
Authorized official
INESSA ILYAYEVA OD (PRESIDENT)
(212) 510-8601
Entity
Organization
Contact information
Practice address
385 FIFTH AVENUE, NEW YORK, NY 10016
(212) 510-8601
(212) 510-8634
Mailing address
385 FIFTH AVENUE, NEW YORK, NY 10016
(212) 510-8601
(212) 510-8634
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009263-1
NY
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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