Whalio Doctors

NPI 1003460601

Yonathan Tegenu

Practitioner Optician New York, NY

Practice location

Address
241 W 57th St, New York, NY 10019-2121
Phone
(212) 336-8329
Fax
(212) 245-2587
Mailing address
11605 N Lamar Blvd, Austin, TX 78753-2658

Registered specialties

Optician Primary
Eye and Vision Services Providers Taxonomy 156FX1800X Licence 009269 (NY)

Registry record

NPI
1003460601
Entity type
Individual
Sex (as registered)
Male
NPI issued
31 Jul 2019
Record last updated
31 Jul 2019

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.