Organization
SPECTACLES OF 7TH AVENUE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONAH S. BERGMAN O.D. (OWNER)
(718) 230-0098
Entity
Organization
Contact information
Practice address
107A 7TH AVE, BROOKLYN, NY 11215-7076
(718) 230-0098
(718) 230-0091
Mailing address
107A 7TH AVE, BROOKLYN, NY 11215-7076
(718) 230-0098
(718) 230-0091
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
TUV006223
NY
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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