MEDICARE: DR. SCOTT GARBOWITZ OPTOMETRIST P.C.

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	NY5843	NY

General Provider Information

NPI Number	:	1811217227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. SCOTT GARBOWITZ OPTOMETRIST P.C.

Provider Business Mailing Address
First Line	:	75 W ROUTE 59
Second Line	:	224 NANUET MALL
City	:	NANUET
State	:	NY
Zip	:	10954-2700
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	75 W ROUTE 59
Second Line	:	224 NANUET MALL
City	:	NANUET
State	:	NY
Zip	:	10954-2700
Country	:	US
Telephone Number	:	845-627-2411
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SCOTT A GARBOWITZ
Credential	:
Telephone Number	:	845-627-2411

Provider Enumeration Date	:	06/08/2010
Last Update Date	:	06/08/2010

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