Individual
GEORGE ALEX KANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12015 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-2117
(718) 843-2156
(718) 843-2164
Mailing address
12015 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-2117
(718) 843-2156
(718) 843-2164
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV 003560
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00329117
—
NY
Enumeration date
05/17/2006
Last updated
12/04/2007
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