Organization
MANETTE SANDOVAL LLC
Active
Organization
MANETTE SANDOVAL LLC
Active
Other names
manette sandoval enterprise
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY MANEETE OD (OPTOMETRIST)
(212) 781-1057
Entity
Organization
Contact information
Practice address
44 SHERMAN AVE, NEW YORK, NY 10040-1104
(212) 781-1057
(212) 781-7359
Mailing address
5280 74TH ST APT 1, ELMHURST, NY 11373-4109
(212) 781-1057
(212) 781-7359
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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