Organization
GLEN OAKS FAMILY VISION CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VLADIMIR POLEY (OFFICER)
(718) 347-7470
Entity
Organization
Contact information
Practice address
25913 UNION TPKE, GLEN OAKS, NY 11004-1248
(718) 347-7470
Mailing address
25913 UNION TPKE, GLEN OAKS, NY 11004-1248
(718) 347-7470
(718) 347-7493
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
006252
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02282960
—
NY
Enumeration date
03/05/2007
Last updated
10/06/2023
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