MEDICARE: ERCL INC

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	006446	NY

General Provider Information

NPI Number	:	1538434345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERCL INC

Provider Business Mailing Address
First Line	:	3626 E TREMONT AVE
Second Line	:	SUITE 201
City	:	BRONX
State	:	NY
Zip	:	10465-2030
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3626 E TREMONT AVE
Second Line	:	SUITE 201
City	:	BRONX
State	:	NY
Zip	:	10465-2030
Country	:	US
Telephone Number	:	347-293-8585
Fax Number	:

Authorized Official
Title or Position	:	OPTOMETRIST
Name	:	DR. CLAUDETTE LOMONACO
Credential	:	OD
Telephone Number	:	347-293-8585

Provider Enumeration Date	:	03/12/2012
Last Update Date	:	06/13/2014

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