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General NPI Number Information
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NPI Number | 1033169826
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Entity Type | Organization
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Legal Business Name | CKNY OPTICAL, CORP
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Dates
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Enumeration Date | 05/11/2006
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Last Update Date | 09/24/2014
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Provider Practice Location Address
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Address Line | 18 PARK PLACE
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City | NEW YORK
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State | NY
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Zip | 10007
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Country | US
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Telephone | 212-227-4208
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Fax | 212-577-3045
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Provider Business Mailing Address
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Address Line | 18 PARK PLACE
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City | NEW YORK
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State | NY
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Zip | 10007
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Country | US
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Telephone | 212-227-4208
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Fax | 212-577-3045
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Authorized Official
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Title or Position | OPTICIAN
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Name | MR. LOUIS SOLOMON
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Credential |
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Telephone | 212-227-4208
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 002655
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 005950
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License Number State | NY
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