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General NPI Number Information
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NPI Number | 1043806359
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Entity Type | Organization
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Legal Business Name | CROSS COUNTY VISION CORP
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Dates
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Enumeration Date | 12/21/2020
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Last Update Date | 01/30/2024
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Provider Practice Location Address
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Address Line | 7050 MALL WALK
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City | YONKERS
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State | NY
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Zip | 10704-1325
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Country | US
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Telephone | 914-881-3749
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Fax |
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Provider Business Mailing Address
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Address Line | 7050 MALL WALK
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City | YONKERS
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State | NY
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Zip | 10704-1325
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Country | US
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Telephone | 914-881-3749
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ELAINA ZAVILENSKY
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Credential |
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Telephone | 201-906-0899
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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 |
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License Number State |
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