Individual
JEFFREY M CHANIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1004 OLD COUNTRY RD, PLAINVIEW, NY 11803-4917
(516) 681-1161
Mailing address
159 EXPRESS ST, ATTN: SUSAN AHEARN (DAVIS VISION), PLAINVIEW, NY 11803-2404
(516) 827-6727
(516) 733-5508
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007312
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007312
LICENCE
NY
Enumeration date
08/06/2008
Last updated
12/21/2010
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