Healthcare Provider Details

I. General information

NPI: 1700518081
Provider Name (Legal Business Name): ERIC SZE OD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/27/2022
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

187 E 116TH ST
NEW YORK NY
10029-1342
US

IV. Provider business mailing address

187 E 116TH ST
NEW YORK NY
10029-1342
US

V. Phone/Fax

Practice location:
  • Phone: 631-559-0673
  • Fax: 201-861-7303
Mailing address:
  • Phone: 631-559-0673
  • Fax: 201-861-7303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberORT009654-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: