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General NPI Number Information
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NPI Number | 1336158500
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Entity Type | Organization
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Legal Business Name | THE GELMAN'S OPTICAL, INC
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Dates
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Enumeration Date | 08/06/2006
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Last Update Date | 01/22/2020
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Provider Practice Location Address
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Address Line | 1353 3RD AVE
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City | NEW YORK
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State | NY
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Zip | 10075-0867
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Country | US
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Telephone | 212-249-6365
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Fax | 212-249-6367
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Provider Business Mailing Address
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Address Line | 1353 3RD AVE
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City | NEW YORK
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State | NY
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Zip | 10075-0867
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Country | US
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Telephone | 212-249-6365
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Fax | 212-249-6367
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Authorized Official
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Title or Position | SECRETARY TREASURER
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Name | DR. LEE GELMAN
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Credential | OD
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Telephone | 212-249-6365
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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 | 006963
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License Number State | NY
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