Organization
SOUTHERN EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAS SADRIAN (PRESIDENT)
(718) 619-8855
Entity
Organization
Contact information
Practice address
953 SOUTHERN BLVD, BRONX, NY 10459-3428
(718) 619-8855
Mailing address
953 SOUTHERN BLVD, GROUND FLOOR, BRONX, NY 10459-3428
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Enumeration date
12/18/2015
Last updated
12/18/2015
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