Organization
GOTHAM EYE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENTIN LAURA (CREDENTIALING SPECIALIST)
(212) 792-8149
Entity
Organization
Contact information
Practice address
346 W 57TH ST, NEW YORK, NY 10019-3702
(917) 503-9596
(212) 616-9998
Mailing address
346 W 57TH ST, NEW YORK, NY 10019-3702
(917) 503-9596
(212) 616-9998
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
11/07/2013
Last updated
11/07/2013
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