New Woodside Optical Corp

NPI #1427429000 in Woodside, New York

Provider Information

NPI Number: 1427429000
Entity Type: Organization
Organization Name: New Woodside Optical Corp
Primary Specialty: Optometrist
Enumeration Date: Oct 8, 2015
Last Updated: Oct 8, 2015

Practice Location

Address: 4811 QUEENS BLVD
City: Woodside
State: New York
ZIP Code: 11377-4450
Phone: (718) 205-9760

Authorized Official

Name: DR. MARIA KATSEV, OD
Title: OWNER, PRESIDENT
Phone: (718) 205-9760

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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