Organization
HARLEM VISTASITE EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIDNEY CONTRERAS (ADMINISTRATOR)
(917) 969-4361
Entity
Organization
Contact information
Practice address
2204 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10026-1172
(646) 895-9000
(646) 891-0202
Mailing address
2204 FREDERICK DOUGLASS BLVD, NEW YORK, NY 10026-1172
(917) 969-4361
(212) 938-5831
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
01/24/2023
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