NPI 1669681706

Da Optical

Organisation Health Maintenance Organization Bayside, NY

Practice location

Address: 21151 26th Ave, Bayside, NY 11360-2492
Phone: (718) 631-3699
Fax: (718) 631-7319

Authorised official

Name: Lisa Denunizoe
Title: Manager
Phone: (718) 631-3699

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence T003266-1 (NY)

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Registry record

NPI: 1669681706
Entity type: Organization
NPI issued: 22 May 2007
Record last updated: 5 Jun 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.