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General NPI Number Information
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NPI Number | 1578661575
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Entity Type | Organization
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Legal Business Name | MADISON AVENUE EYE CARE LTD.
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 370 LEXINGTON AVE RM 1102
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City | NEW YORK
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State | NY
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Zip | 10017-0966
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Country | US
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Telephone | 212-687-2054
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Fax | 212-922-1741
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Provider Business Mailing Address
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Address Line | 370 LEXINGTON AVE RM 1102
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City | NEW YORK
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State | NY
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Zip | 10017-0966
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Country | US
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Telephone | 212-687-2054
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Fax | 212-922-1741
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN E. KURFIRST
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Credential | O.D.
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Telephone | 212-687-2054
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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 | NY
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