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Organization

PARK SLOPE EYE, OPTOMETRIC PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUSTIN BAZAN OD (OWNER)
(212) 863-9939
Entity
Organization

Contact information

Practice address
682 UNION ST, SUITE 1, BROOKLYN, NY 11215-1161
(212) 863-9939
(888) 850-6294
Mailing address
682 UNION ST, SUITE 1, BROOKLYN, NY 11215-1161
(212) 863-9939
(888) 850-6294

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
006867
NY

Other

Enumeration date
03/20/2008
Last updated
06/09/2008
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