Russell Wohl Od LLC

NPI #1245415595 in Amityville, New York

Provider Information

NPI Number: 1245415595
Entity Type: Organization
Organization Name: Russell Wohl Od LLC
Primary Specialty: Optometrist
Enumeration Date: Jan 7, 2008
Last Updated: May 8, 2019

Practice Location

Address: 85 BROADWAY
Address 2: STE C
City: Amityville
State: New York
ZIP Code: 11701-2743
Phone: (631) 264-1515

Authorized Official

Name: DR. RUSSELL MARK WOHL
Title: OPTOMETRIST
Phone: (631) 264-1515

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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