Jack R Nizewitz & Gary J Lake PC
NPI #1952528457 in Middletown, New York
Provider Information
- NPI Number
- 1952528457
- Entity Type
- Organization
- Organization Name
- Jack R Nizewitz & Gary J Lake PC
- Primary Specialty
- Optometrist
- Enumeration Date
- Apr 19, 2007
- Last Updated
- May 28, 2014
Practice Location
- Address
- 200 MIDWAY PARK DR
- City
- Middletown
- State
- New York
- ZIP Code
- 10940-2642
- Phone
- (845) 343-6919
Authorized Official
- Name
- JACK R NIZEWITZ
- Title
- OPTOMETRIST/OWNER
- Phone
- (845) 343-6919
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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