104th St Optical INC

NPI #1033278544 in New York, New York

Provider Information

NPI Number: 1033278544
Entity Type: Organization
Organization Name: 104th St Optical INC
Primary Specialty: Eyewear Supplier
Enumeration Date: Dec 8, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 1884 3RD AVE
City: New York
State: New York
ZIP Code: 10029
Phone: (212) 831-4733

Authorized Official

Name: DR. PHILIP SINOWAY
Title: OWNER
Phone: (212) 831-4733

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Eyewear Supplier	332H00000X	Primary

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