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General NPI Number Information
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NPI Number | 1679472468
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Entity Type | Organization
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Legal Business Name | FIVE BOROUGH OPTOMETRY PC
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Dates
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Enumeration Date | 11/05/2026
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Last Update Date | 11/05/2026
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Provider Practice Location Address
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Address Line | 358 E 149TH ST
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City | BRONX
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State | NY
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Zip | 10455-3930
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Country | US
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Telephone | 718-307-2020
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Fax | 718-952-4629
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Provider Business Mailing Address
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Address Line | 205 AVENUE U
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City | BROOKLYN
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State | NY
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Zip | 11223-3874
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OD
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Name | ELENA FELDMAN
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Credential |
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Telephone | 347-842-8871
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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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