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General NPI Number Information
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NPI Number | 1679535959
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Entity Type | Organization
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Legal Business Name | CORTLANDT EYECARE P.C.
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 03/25/2010
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Provider Practice Location Address
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Address Line | 2127 CROMPOND RD SUITE 103
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-4329
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Country | US
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Telephone | 914-737-2020
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Fax | 914-737-5436
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Provider Business Mailing Address
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Address Line | 2127 CROMPOND RD SUITE 103
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-4329
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Country | US
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Telephone | 914-737-2020
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Fax | 914-737-5436
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAURENCE LONKY
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Credential | O.D.
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Telephone | 914-737-2020
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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 | 004157
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License Number State | NY
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