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NPI Code Detail

MEDICARE: SHANDOR ZELENGER O.D.

MEDICARE:   SHANDOR  ZELENGER  O.D.
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
1152WL0500XLow Vision Rehabilitation OptometristTUV006017NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437128808
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANDOR ZELENGER O.D.
Provider Business Mailing Address
First Line : 225 BROADWAY
Second Line : SUITE 1015
City : NEW YORK
State : NY
Zip : 10007-3001
Country : US
Telephone Number : 718-265-0201
Fax Number : 212-748-1285
Provider Business Practice Location Address
First Line : 225 BROADWAY
Second Line : SUITE 1015
City : NEW YORK
State : NY
Zip : 10007-3001
Country : US
Telephone Number : 718-265-0201
Fax Number : 212-748-1285
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 03/26/2010

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Directions to “ SHANDOR ZELENGER O.D.” Practice Location

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