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NPI Code Detail

MEDICARE: MR. YAAKOV SHEINHOUSE LICENSED OPTICIAN

MEDICARE:  MR. YAAKOV  SHEINHOUSE  LICENSED OPTICIAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1156FX1800XOptician007414NY

General Provider Information

NPI Number : 1033264833
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. YAAKOV SHEINHOUSE LICENSED OPTICIAN
Provider Business Mailing Address
First Line : 1823 AVENUE M
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-5308
Country : US
Telephone Number : 718-377-5649
Fax Number : 718-377-1935
Provider Business Practice Location Address
First Line : 1823 AVENUE M
Second Line :
City : BROOKLYN
State : NY
Zip : 11230-5308
Country : US
Telephone Number : 718-377-5649
Fax Number : 718-377-1935
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 07/08/2007

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Directions to “ MR. YAAKOV SHEINHOUSE LICENSED OPTICIAN” Practice Location

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