Healthcare Provider Details

I. General information

NPI: 1720269756
Provider Name (Legal Business Name): MANHATTAN EYEWORKS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2007
Last Update Date: 09/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 1ST AVE
NEW YORK NY
10003-2927
US

IV. Provider business mailing address

169 1ST AVE
NEW YORK NY
10003-2927
US

V. Phone/Fax

Practice location:
  • Phone: 212-460-9240
  • Fax:
Mailing address:
  • Phone: 212-460-9240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License NumberNY4780
License Number StateNY

VIII. Authorized Official

Name: MR. FRANK C FICO
Title or Position: MANAGER/CO-OWNER
Credential:
Phone: 212-460-9240