Healthcare Provider Details

I. General information

NPI: 1376694323
Provider Name (Legal Business Name): PHILIP SINOWAY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 07/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1359 ST NICHOLAS AVE ST NICHOLAS OPTICAL
NEW YORK NY
10033
US

IV. Provider business mailing address

1 E FORDHAM RD SIGHT N STYLE OPTICAL
BRONX NY
10468
US

V. Phone/Fax

Practice location:
  • Phone: 718-927-2408
  • Fax: 212-568-7713
Mailing address:
  • Phone: 718-733-6700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: PHILIP SINOWAY
Title or Position: OWNER
Credential: OD
Phone: 718-855-0300