Healthcare Provider Details

I. General information

NPI: 1629208780
Provider Name (Legal Business Name): ARNO K KUZUKYAN O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2009
Last Update Date: 07/22/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 LEXINGTON AVE EYES ON THE WORLD
NEW YORK NY
10022-4502
US

IV. Provider business mailing address

645 LEXINGTON AVE EYES ON THE WORLD
NEW YORK NY
10022-4502
US

V. Phone/Fax

Practice location:
  • Phone: 212-355-8494
  • Fax: 212-355-9796
Mailing address:
  • Phone: 212-355-8494
  • Fax: 212-355-9796

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberTUV006156-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: