Organization
ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Active
Other names
New York Eye & Ear Optical Shop
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD A PETERSON (SENIOR DIRECTOR CBO)
(646) 605-8145
Entity
Organization
Contact information
Practice address
310 E 14TH ST FL 1, NEW YORK, NY 10003-4284
(212) 979-4500
Mailing address
150 E 42ND ST, NEW YORK, NY 10017-5612
(646) 605-8119
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
06/26/2024
Last updated
01/10/2025
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