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General NPI Number Information
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NPI Number | 1518492198
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Entity Type | Organization
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Legal Business Name | EYE LEVEL OPTICS YONKERS,INC
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Dates
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Enumeration Date | 04/20/2017
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Last Update Date | 04/20/2017
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Provider Practice Location Address
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Address Line | 442 S BROADWAY
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City | YONKERS
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State | NY
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Zip | 10705-2339
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Country | US
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Telephone | 914-294-0320
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Fax | 914-294-0321
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Provider Business Mailing Address
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Address Line | 442 S BROADWAY
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City | YONKERS
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State | NY
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Zip | 10705-2339
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Country | US
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Telephone | 914-294-0320
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Fax | 914-294-0321
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Authorized Official
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Title or Position | OWNER
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Name | EMILY PEREZ
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Credential |
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Telephone | 914-294-0320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | T0045261
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License Number State | NY
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