Provider Demographics
NPI:1639590128
Name:SEZANI & CO. OPTICIAL
Entity Type:Organization
Organization Name:SEZANI & CO. OPTICIAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICIAN/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BETTY
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMYAGAROVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-764-6133
Mailing Address - Street 1:1006 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-0169
Mailing Address - Country:US
Mailing Address - Phone:212-764-6133
Mailing Address - Fax:212-764-6136
Practice Address - Street 1:1006 6TH AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-0169
Practice Address - Country:US
Practice Address - Phone:212-764-6133
Practice Address - Fax:212-764-6136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-30
Last Update Date:2013-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00053991152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty