Organization
NEW YORK OPTICAL OF MANHATTAN CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE TABACHNICK OD (PRESIDENT)
(212) 927-4444
Entity
Organization
Contact information
Practice address
648 W 181ST ST, NEW YORK, NY 10033-3801
(212) 927-4444
Mailing address
65 VILLAS CIR, MELVILLE, NY 11747-3061
(212) 927-4444
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV002974
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02104263
—
NY
Enumeration date
08/25/2006
Last updated
06/25/2008
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