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NPI 1205077567

NPI 1205077567 : DRS GARBOWITZ & ECKSTEIN, OPTOMETRISTS, PLLC : NANUET, NY

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General NPI Number Information
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    NPI Number           |    1205077567
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    Entity Type          |    Organization 
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    Legal Business Name  |    DRS GARBOWITZ & ECKSTEIN, OPTOMETRISTS, PLLC 
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Dates
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    Enumeration Date     |    03/17/2009
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    Last Update Date     |    03/17/2009
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Provider Practice Location Address
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    Address Line         |    75 W ROUTE 59 224 NANUET MALL
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    City                 |    NANUET
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    State                |    NY
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    Zip                  |    10954-2700
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    Country              |    US
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    Telephone            |    845-627-2411
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    Fax                  |    845-627-6456
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Provider Business Mailing Address
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    Address Line         |    75 W ROUTE 59 224 NANUET MALL
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    City                 |    NANUET
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    State                |    NY
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    Zip                  |    10954-2700
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    Country              |    US
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    Telephone            |    845-627-2411
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    Fax                  |    845-627-6456
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Authorized Official
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    Title or Position    |    OPTOMETRIST
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    Name                 |    DR. SCOTT A GARBOWITZ 
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    Credential           |    O.D.
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    Telephone            |    845-627-2411
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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       |    005843
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    License Number State |    NY
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