Provider Demographics
NPI:1669895322
Name:NEW YORK OCULAR PROSTHETICS LLC
Entity type:Organization
Organization Name:NEW YORK OCULAR PROSTHETICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCULARIST / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:RACHEL
Authorized Official - Last Name:FINK
Authorized Official - Suffix:
Authorized Official - Credentials:BCO
Authorized Official - Phone:212-269-6600
Mailing Address - Street 1:47 E 77TH ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1730
Mailing Address - Country:US
Mailing Address - Phone:212-269-6600
Mailing Address - Fax:212-432-5500
Practice Address - Street 1:47 E 77TH ST
Practice Address - Street 2:SUITE 203
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1730
Practice Address - Country:US
Practice Address - Phone:212-269-6600
Practice Address - Fax:212-432-5500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-30
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1700XEye and Vision Services ProvidersTechnician/TechnologistOcularistGroup - Single Specialty