Provider Demographics
NPI:1770720054
Name:COHEN'S FASHION OPTICAL
Entity type:Organization
Organization Name:COHEN'S FASHION OPTICAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:BORA
Authorized Official - Middle Name:
Authorized Official - Last Name:AZAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-254-0246
Mailing Address - Street 1:133 2ND AVE
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-8300
Mailing Address - Country:US
Mailing Address - Phone:212-254-0246
Mailing Address - Fax:212-254-0312
Practice Address - Street 1:133 2ND AVE
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-8300
Practice Address - Country:US
Practice Address - Phone:212-254-0246
Practice Address - Fax:212-254-0312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier