| Loft Opticians | |
|
1106 Lexington Ave New York NY 10075-0303 | |
| (212) 535-7272 | |
| (212) 535-7396 |
| Full Name | Loft Opticians |
|---|---|
| Speciality | Dentist |
| Location | 1106 Lexington Ave, New York, New York |
| Authorized Official Name and Position | Sol Kozak (OWNER) |
| Authorized Official Contact | 2125357272 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Loft Opticians 1106 Lexington Ave New York NY 10075-0303 Ph: (212) 535-7272 | Loft Opticians 1106 Lexington Ave New York NY 10075-0303 Ph: (212) 535-7272 |
| NPI Number | 1215078431 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 03/12/2009 |
| Medicare PECOS PAC ID | 2961520317 |
|---|---|
| Medicare Enrollment ID | O20100930099643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215078431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 14228 (Texas) | Primary |
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