MEDICARE: DR. SAFFIAH LAFFIR O.D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	TUV007644-1	NY

General Provider Information

NPI Number	:	1225330913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAFFIAH LAFFIR O.D

Provider Business Mailing Address
First Line	:	133 DAHLGREN PL APT 1
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11228-3603
Country	:	US
Telephone Number	:	347-768-2909
Fax Number	:

Provider Business Practice Location Address
First Line	:	1690 PITKIN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11212-5605
Country	:	US
Telephone Number	:	347-768-2909
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2010
Last Update Date	:	01/11/2011

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