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General NPI Number Information
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NPI Number | 1609304765
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Entity Type | Organization
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Legal Business Name | MARTHY INC
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Dates
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Enumeration Date | 06/01/2017
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 57 COVERT AVE
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City | FLORAL PARK
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State | NY
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Zip | 11001-3217
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Country | US
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Telephone | 516-502-6961
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Fax | 516-502-6932
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Provider Business Mailing Address
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Address Line | 1915 NEW HYDE PARK RD
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City | NEW HYDE PARK
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State | NY
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Zip | 11040-2028
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Country | US
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Telephone | 516-502-6961
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARK SIMKO
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Credential |
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Telephone | 516-376-5564
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | OD6822-1
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License Number State | NY
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