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NPI 1306815683

NPI 1306815683 : MANHATTAN VISION ASSOCIATES : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1306815683
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    Entity Type          |    Organization 
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    Legal Business Name  |    MANHATTAN VISION ASSOCIATES 
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Dates
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    Enumeration Date     |    03/17/2006
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    Last Update Date     |    09/15/2008
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Provider Practice Location Address
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    Address Line         |    160 EAST 56 STREET SUITE 300
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10022
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    Country              |    US
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    Telephone            |    212-688-4277
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    Fax                  |    212-421-2411
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Provider Business Mailing Address
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    Address Line         |    160 EAST 56 STREET SUITE 300
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10022
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    Country              |    US
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    Telephone            |    212-688-4277
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    Fax                  |    212-421-2411
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Authorized Official
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    Title or Position    |    OPTOMETRIST
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    Name                 |    DR. ARKADY  SELENOW 
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    Credential           |    OD
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    Telephone            |    212-688-4277
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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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