| Aj Elliot Opticians | |
|
5902 Catalpa Ave Ridgewood NY 11385-4461 | |
| (718) 821-1112 | |
| Not Available |
| Full Name | Aj Elliot Opticians |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 5902 Catalpa Ave, Ridgewood, New York |
| Authorized Official Name and Position | Elliot R Roth (OPTOMETRIST) |
| Authorized Official Contact | 5168498710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aj Elliot Opticians 5902 Catalpa Ave Ridgewood NY 11385-4461 Ph: (718) 821-1112 | Aj Elliot Opticians 5902 Catalpa Ave Ridgewood NY 11385-4461 Ph: (718) 821-1112 |
| NPI Number | 1174892418 |
|---|---|
| Provider Enumeration Date | 12/15/2011 |
| Last Update Date | 12/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174892418 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | VUT005485 (New York) | Primary |
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