Organization
MIDWOOD OPTICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN FABIAN (OWNER)
(718) 764-3271
Entity
Organization
Contact information
Practice address
1811 AVENUE M, BROOKLYN, NY 11230-5308
(718) 684-6905
Mailing address
1811 AVENUE M, BROOKLYN, NY 11230-5308
(718) 684-6905
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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