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Mrs. Omawathi Debidat
Optician in Valley Stream, New York
NPI 1346485976

Omawathi Debidat is a Optician based in Valley Stream, NY and is specialized in Optician. Omawathi Debidat practices in Valley Stream, NY. The NPI Number for Omawathi Debidat is 1346485976 and holds a License No. 007341-1 (New York).

The current practice location address for Omawathi Debidat is 1152 Green Acres Mall, Valley Stream, NY and can be reached out via phone at 516-568-2020.

Location: 1152 Green Acres Mall, Valley Stream, NY, 11581-1538
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346485976
Provider Name
Omawathi Debidat
Credential
Provider Entity Type
Individual
Gender
Female
Address
1152 Green Acres Mall, Valley Stream, NY, 11581-1538
Phone Number
516-568-2020
Fax Number
Provider Enumeration Date
12/11/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1152 Green Acres Mall
City
Valley Stream
State
New York
Zip
11581-1538
Phone Number
516-568-2020
Fax Number
person
Provider Business Mailing Address Details
Address
1152 Green Acres Mall
City
Valley Stream
State
New York
Zip
11581-1538
Phone Number
516-568-2020
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
007341-1 (New York)
Definition
Definition to come...
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