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General NPI Number Information
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NPI Number | 1154249589
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Entity Type | Organization
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Legal Business Name | NORWAY AVENUE OPTOMETRY PC
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Dates
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Enumeration Date | 07/06/2026
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Last Update Date | 07/06/2026
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Provider Practice Location Address
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Address Line | 395 JAY ST
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City | BROOKLYN
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State | NY
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Zip | 11201-5164
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Country | US
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Telephone | 917-930-4344
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Fax |
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Provider Business Mailing Address
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Address Line | 2279 NORWAY AVE 2 FLOORE
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City | STATEN ISLAND
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State | NY
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Zip | 10305-3524
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Country | US
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Telephone | 917-930-4344
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Fax |
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Authorized Official
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Title or Position | OD
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Name | KATSIARYNA KAVALCHUK
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Credential |
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Telephone | 917-930-4344
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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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