Organization
GLENRIDGE OPTICAL WAREHOUSE OUTLET INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROZALINA ABRAMOV (OWNER/OPTICIAN)
(718) 386-2423
Entity
Organization
Contact information
Practice address
6041 MYRTLE AVE, RIDGEWOOD, NY 11385-5933
(718) 386-2423
Mailing address
6041 MYRTLE AVE, RIDGEWOOD, NY 11385-5933
(718) 386-2423
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008190
NY
Other
Enumeration date
06/04/2009
Last updated
06/04/2009
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