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NPI Code Detail

MEDICARE: QUEENS PLAZA OPTICAL

MEDICARE: QUEENS PLAZA OPTICAL
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
1156FX1800XOptician007688-1NY

General Provider Information

NPI Number : 1700053907
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUEENS PLAZA OPTICAL
Provider Business Mailing Address
First Line : 2724 QUEENS PLZ S
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-4102
Country : US
Telephone Number : 718-482-7462
Fax Number : 718-482-7462
Provider Business Practice Location Address
First Line : 2724 QUEENS PLZ S
Second Line :
City : LONG ISLAND CITY
State : NY
Zip : 11101-4102
Country : US
Telephone Number : 718-482-7462
Fax Number : 718-482-7462
Authorized Official
Title or Position : PRESIDENT
Name : ARTHUR SIONOV
Credential :
Telephone Number : 718-482-7462
Provider Enumeration Date : 05/15/2008
Last Update Date : 05/15/2008

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Directions to “QUEENS PLAZA OPTICAL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.