Organization
GREEN ACRES VISTASITE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ORLOFF (OWNER)
(914) 523-4295
Entity
Organization
Contact information
Practice address
1088 GREEN ACRES MALL # 118, VALLEY STREAM, NY 11581-1535
(516) 568-2010
(516) 568-2060
Mailing address
1088 GREEN ACRES MALL # 118, VALLEY STREAM, NY 11581-1535
(718) 547-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006117-1
NY
Other
Enumeration date
10/25/2012
Last updated
05/07/2025
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