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General NPI Number Information
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NPI Number | 1619169711
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Entity Type | Organization
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Legal Business Name | DRS. FARKAS, KASSALOW, RESNICK & ASSOCIATES
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Dates
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Enumeration Date | 08/13/2007
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Last Update Date | 01/20/2015
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Provider Practice Location Address
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Address Line | 1044 NORTHERN BOULEVARD SUITE 107
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City | ROSLYN
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State | NY
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Zip | 11576-1507
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Country | US
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Telephone | 516-365-4500
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Fax | 516-365-6580
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Provider Business Mailing Address
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Address Line | 1044 NORTHERN BOULEVARD SUITE 107
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City | ROSLYN
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State | NY
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Zip | 11576-1507
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Country | US
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Telephone | 516-365-4500
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Fax | 516-365-6580
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Authorized Official
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Title or Position | MANAGING OPTOMETRIST
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Name | DR. SUSAN A. RESNICK
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Credential | O.D.
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Telephone | 516-365-4500
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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 |
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Taxonomy #2
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | T004323
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | T004323
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License Number State | NY
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