Organization
MMA OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANA GERSHOVICH (OFFICE MANAGER)
(516) 204-7733
Entity
Organization
Contact information
Practice address
412 HEMPSTEAD TPKE, SUITE #1, WEST HEMPSTEAD, NY 11552-1336
(516) 204-7733
(516) 481-0727
Mailing address
412 HEMPSTEAD TPKE, SUITE #1, WEST HEMPSTEAD, NY 11552-1336
(516) 204-7733
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/17/2009
Last updated
02/17/2009
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