Organization
FORT GREEN VISION CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS ROZHANSKY (MANAGER)
(917) 306-5191
Entity
Organization
Contact information
Practice address
446B MYRTLE AVE, BROOKLYN, NY 11205-2414
(718) 246-2020
(347) 987-4335
Mailing address
446B MYRTLE AVE, BROOKLYN, NY 11205-2414
(718) 246-2020
(347) 987-4335
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
006307
NY
Other
Enumeration date
01/25/2014
Last updated
10/05/2023
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