NPI 1023325107

Howard Randolph Ellison, OPTICIAN

Practitioner Optician Bronx, NY

Practice location

Address: 132 E Fordham Rd, Bronx, NY 10468-5408
Phone: (718) 561-1600
Fax: (718) 561-1611

Registered specialties

Optician Primary

Eye and Vision Services Providers Taxonomy 156FX1800X Licence 008765 (NY)

Other Technician/Technologist providers in New York →

Registry record

NPI: 1023325107
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Sep 2010
Record last updated: 9 Sep 2010

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.