=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376250993
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HARRY SEHDEV
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/02/2022
-----------------------------------------------------
Last Update Date | 11/02/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 22417A UNION TPKE
-----------------------------------------------------
City | OAKLAND GARDENS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11364-3605
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-470-2280
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 22417A UNION TPKE
-----------------------------------------------------
City | OAKLAND GARDENS
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11364-3605
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 718-470-2280
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/OD
-----------------------------------------------------
Name | DR. HARRY SEHDEV
-----------------------------------------------------
Credential | OD
-----------------------------------------------------
Telephone | 516-830-5275
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------