Healthcare Provider Details

I. General information

NPI: 1528973260
Provider Name (Legal Business Name): GILDA LIZ FLORENTINO APONTE
Entity Type: Individual
Gender:
Sole Proprietor: Y

Provider Other Name: GILDA LIZ FLORENTINO

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1098 WILMOT RD
SCARSDALE NY
10583-6863
US

IV. Provider business mailing address

3515 FROST RD
SHRUB OAK NY
10588-2001
US

V. Phone/Fax

Practice location:
  • Phone: 914-335-3607
  • Fax:
Mailing address:
  • Phone: 914-299-0694
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number011470
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: