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NPI Code Detail

MEDICARE: NEW CITY VISION INC

MEDICARE: NEW CITY VISION 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
1152W00000XOptometrist006137NY

General Provider Information

NPI Number : 1649502519
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW CITY VISION INC
Provider Business Mailing Address
First Line : 150 2ND AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10003-5715
Country : US
Telephone Number : 212-780-6080
Fax Number : 212-780-6082
Provider Business Practice Location Address
First Line : 150 2ND AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10003-5715
Country : US
Telephone Number : 212-780-6080
Fax Number : 212-780-6082
Authorized Official
Title or Position : OFFICER
Name : NATAN DORFMAN
Credential : OD
Telephone Number : 212-780-6080
Provider Enumeration Date : 02/03/2010
Last Update Date : 02/03/2010

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Directions to “NEW CITY VISION INC ” Practice Location

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