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General NPI Number Information
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NPI Number | 1699969527
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE EYE SERVICES
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Dates
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Enumeration Date | 09/04/2007
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Last Update Date | 09/04/2007
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Provider Practice Location Address
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Address Line | 625 E FORDHAM RD EYE CLINIC/MARTIN AVILES
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City | BRONX
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State | NY
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Zip | 10458-5049
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Country | US
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Telephone | 718-933-1900
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Fax | 718-563-4039
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Provider Business Mailing Address
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Address Line | PO BOX 187
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City | ARMONK
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State | NY
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Zip | 10504-0187
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Country | US
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Telephone | 917-765-0059
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Fax | 914-273-3706
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Authorized Official
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Title or Position | PARTNER
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Name | DR. SYLVIA K. LEE
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Credential | O.D.
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Telephone | 914-765-0059
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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 | TUV006237
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License Number State | NY
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