Provider Demographics
NPI:1831458728
Name:ENI OF NY CORP
Entity Type:Organization
Organization Name:ENI OF NY CORP
Other - Org Name:DC OPTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENG
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:914-512-7585
Mailing Address - Street 1:390 MYRTLE AVE
Mailing Address - Street 2:STORE
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11205-2411
Mailing Address - Country:US
Mailing Address - Phone:347-504-1121
Mailing Address - Fax:347-620-7193
Practice Address - Street 1:390 MYRTLE AVE
Practice Address - Street 2:STORE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-2411
Practice Address - Country:US
Practice Address - Phone:347-504-1121
Practice Address - Fax:347-620-7193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007060261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center