Provider Demographics
NPI:1093852766
Name:VIOLA KANEVSKY, O.D., P.L.L.C.
Entity Type:Organization
Organization Name:VIOLA KANEVSKY, O.D., P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:KANEVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:212-580-2020
Mailing Address - Street 1:527 COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3402
Mailing Address - Country:US
Mailing Address - Phone:212-580-2020
Mailing Address - Fax:212-580-2023
Practice Address - Street 1:527 COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3402
Practice Address - Country:US
Practice Address - Phone:212-580-2020
Practice Address - Fax:212-580-2023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT005443152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY462584OtherAETNA PIN
NY1077649OtherCIGNA PIN
NY293690POtherHIP PROVIDER ID
NY5C5741OtherHEALTH NET PIN
NYP674481OtherOXFORD PIN
NYTUV005443OtherHIP BILLING ID
NYTUV005443OtherHIP BILLING ID
NY462584OtherAETNA PIN
NY5C5741OtherHEALTH NET PIN