Organization
JG VISION ASSOCIATES,INC
Active
Other names
Envisage
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP GIAMBALVO (PRESIDENT)
(718) 654-2020
Entity
Organization
Contact information
Practice address
702 ALLERTON AVE, BRONX, NY 10467-8218
(718) 654-2020
(718) 654-2325
Mailing address
702 ALLERTON AVE, BRONX, NY 10467-8218
(718) 654-2020
(718) 654-2325
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
004106
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02653689
—
NY
Enumeration date
06/21/2006
Last updated
09/01/2015
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