Organization
DYCKMAN OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID ROGOT OPTICIAN (PRESIDENT)
(212) 567-7084
Entity
Organization
Contact information
Practice address
110 DYCKMAN ST, NEW YORK, NY 10040-1001
(212) 567-7084
Mailing address
110 DYCKMAN ST, NEW YORK, NY 10040-1001
(212) 567-7084
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03529797
—
NY
Enumeration date
08/22/2012
Last updated
03/19/2013
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