Jack Doby Garden City, LLC

NPI #1144793720 in Garden City, New York

Provider Information

NPI Number: 1144793720
Entity Type: Organization
Organization Name: Jack Doby Garden City, LLC
Primary Specialty: Eyewear Supplier
Enumeration Date: Jan 7, 2019
Last Updated: Jan 14, 2019

Practice Location

Address: JACK DOBY GARDEN CITY, LLC
Address 2: 928 OLD COUNTRY ROAD
City: Garden City
State: New York
ZIP Code: 11530
Phone: (516) 394-0001

Authorized Official

Name: BRUCE ZAGELBAUM
Title: PRESIDENT
Phone: (516) 394-0001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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