Clement Idehen Optometrist PC

NPI #1760435374 in Ridgewood, New York

Provider Information

NPI Number: 1760435374
Entity Type: Organization
Organization Name: Clement Idehen Optometrist PC
Primary Specialty: Optometrist
Enumeration Date: May 18, 2006
Last Updated: Sep 16, 2009

Practice Location

Address: 5546 MYRTLE AVE
City: Ridgewood
State: New York
ZIP Code: 11385-3554
Phone: (718) 628-9200

Authorized Official

Name: DR. CLEMENT ENORENSE IDEHEN, O.D
Title: PRESIDENT
Phone: (718) 628-9200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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