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NPI 1790221331

NPI 1790221331 : EYES & OPTICS HARLEM LLC : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1790221331
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    Entity Type          |    Organization 
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    Legal Business Name  |    EYES & OPTICS HARLEM LLC 
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Dates
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    Enumeration Date     |    01/06/2017
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    Last Update Date     |    04/12/2021
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Provider Practice Location Address
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    Address Line         |    46 WEST 137TH STREET 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10037
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    Country              |    US
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    Telephone            |    212-926-2020
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2922 AVENUE L 
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    City                 |    BROOKLYN
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    State                |    NY
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    Zip                  |    11210-4639
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    Country              |    US
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    Telephone            |    718-513-6911
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRES
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    Name                 |     AVRAHAM  VIZEL 
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    Credential           |    
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    Telephone            |    718-513-6911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332H00000X
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    Taxonomy Name        |    Eyewear Supplier
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    License Number       |    
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    License Number State |    NY
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