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General NPI Number Information
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NPI Number | 1639044613
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Entity Type | Organization
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Legal Business Name | LAGUARDIA PLACE OPTOMETRY PLLC
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 542 LAGUARDIA PL
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City | NEW YORK
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State | NY
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Zip | 10012-1458
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Country | US
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Telephone | 212-767-9465
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Fax | 212-691-3262
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Provider Business Mailing Address
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Address Line | 542 LAGUARDIA PL
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City | NEW YORK
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State | NY
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Zip | 10012-1458
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Country | US
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Telephone | 212-767-9465
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Fax | 212-691-3262
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | HAKIM R SERHROUCHNI
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Credential | OD
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Telephone | 917-674-0101
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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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