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Mr. Eric Manevich, LICENSEDOPTICIAN
Optician in Staten Island, New York
NPI 1275583478

Eric Manevich is a Optician based in Staten Island, NY and is specialized in Optician. Eric Manevich practices in Staten Island, NY and has the professional credentials of LICENSEDOPTICIAN. The NPI Number for Eric Manevich is 1275583478 and holds a License No. 006509 (New York).

The current practice location address for Eric Manevich is 4011 Hylan Blvd, Staten Island, NY and can be reached out via phone at 718-227-0929 and via fax at 718-227-0890.

Location: 4011 Hylan Blvd, Staten Island, NY, 10308-3332
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Provider Profile Details
NPI Number
1275583478
Provider Name
Eric Manevich
Credential
LICENSEDOPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
4011 Hylan Blvd, Staten Island, NY, 10308-3332
Phone Number
718-227-0929
Fax Number
718-227-0890
Provider Enumeration Date
05/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01471989 05 NY
02738145 05 NY
institution
Provider Business Practice Location Address Details
Address
4011 Hylan Blvd
City
State
Zip
10308-3332
Phone Number
718-227-0929
Fax Number
718-227-0890
person
Provider Business Mailing Address Details
Address
4011 Hylan Blvd
City
State
Zip
10308-3332
Phone Number
718-227-0929
Fax Number
718-227-0890
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
006509 (New York)
Definition
Definition to come...
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