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NPI Code Detail

MEDICARE: DR. DAVID LIBASSI OD

MEDICARE: DR. DAVID LIBASSI OD
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
1152WC0802XCorneal and Contact Management OptometristVUT003996NY

General Provider Information

NPI Number : 1497755763
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID LIBASSI OD
Provider Business Mailing Address
First Line : 33 W 42ND ST
Second Line :
City : NEW YORK
State : NY
Zip : 10036-8003
Country : US
Telephone Number : 212-780-4950
Fax Number :
Provider Business Practice Location Address
First Line : 33 W 42ND ST
Second Line :
City : NEW YORK
State : NY
Zip : 10036-8003
Country : US
Telephone Number : 212-780-4950
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2005
Last Update Date : 07/08/2007

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Directions to “ DR. DAVID LIBASSI OD” Practice Location

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