Organization
ARH EMPIRE CORP
Active
Other names
Forest Optical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAPHAEL YUSUPOV (MANAGER)
(718) 418-0100
Entity
Organization
Contact information
Practice address
6240 FOREST AVE, RIDGEWOOD, NY 11385
(718) 418-0100
(718) 418-0005
Mailing address
6240 FOREST AVE, RIDGEWOOD, NY 11385-1929
(718) 418-0100
(718) 418-0005
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007920
NY
Other
Enumeration date
05/22/2018
Last updated
06/13/2018
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