Provider Demographics
NPI:1245634740
Name:DOCTOR ADMINISTRATION SERVICES, LLC
Entity type:Organization
Organization Name:DOCTOR ADMINISTRATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:DILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZADIKIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-729-5303
Mailing Address - Street 1:520 8TH AVE
Mailing Address - Street 2:9TH FLOOR
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-6507
Mailing Address - Country:US
Mailing Address - Phone:212-792-8136
Mailing Address - Fax:212-792-8137
Practice Address - Street 1:520 8TH AVE
Practice Address - Street 2:9TH FLOOR
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-6507
Practice Address - Country:US
Practice Address - Phone:212-792-8136
Practice Address - Fax:212-792-8137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-14
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty