MEDICARE: HENRY AZRIKAN & EZRA COHEN

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
1	152W00000X	Optometrist	4255	NY

General Provider Information

NPI Number	:	1053594044
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HENRY AZRIKAN & EZRA COHEN

Provider Business Mailing Address
First Line	:	1928 MERMAID AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-2508
Country	:	US
Telephone Number	:	718-372-2611
Fax Number	:	718-372-0616

Provider Business Practice Location Address
First Line	:	1928 MERMAID AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11224-2508
Country	:	US
Telephone Number	:	718-372-2611
Fax Number	:	718-372-0616

Authorized Official
Title or Position	:	OWNER
Name	:	DR. HENRY ANDREW AZRIKAN
Credential	:	OD
Telephone Number	:	718-372-2611

Provider Enumeration Date	:	12/12/2007
Last Update Date	:	11/05/2025

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