Organization
MSSM-OPTICAL SHOP
Active
Organization
MSSM-OPTICAL SHOP
Active
Parent organization
MSSM-DEPT OF OPHTHALMOLOGY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MSSM-DEPT OF OPHTHALMOLOGY
Authorized official
ZULMA VAZQUEZ (PRACTICE MANAGER)
(212) 241-8924
Entity
Organization
Contact information
Practice address
17 E 102ND ST, 8TH FLOOR #1183, NEW YORK, NY 10029-5204
(212) 824-7660
(212) 824-2325
Mailing address
17 E 102ND ST, 8TH FLOOR #1183, NEW YORK, NY 10029-5204
(212) 824-7660
(212) 824-2325
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
05/12/2010
Last updated
05/12/2010
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