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Mr. Michael Robert Menasse, OPTICIAN
Optician in Brooklyn, New York
NPI 1972564193

Michael Robert Menasse is a Optician based in Brooklyn, NY and is specialized in Optician. Michael Robert Menasse practices in Brooklyn, NY and has the professional credentials of OPTICIAN. The NPI Number for Michael Robert Menasse is 1972564193 and holds a License No. C0053311 (New York).

The current practice location address for Michael Robert Menasse is 637 5Th Ave, Brooklyn, NY and can be reached out via phone at 718-499-4260 and via fax at 718-499-6007.

Location: 637 5Th Ave, Brooklyn, NY, 11215-5434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972564193
Provider Name
Michael Robert Menasse
Credential
OPTICIAN
Provider Entity Type
Individual
Gender
Male
Address
637 5Th Ave, Brooklyn, NY, 11215-5434
Phone Number
718-499-4260
Fax Number
718-499-6007
Provider Enumeration Date
03/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01050339 05 NY
institution
Provider Business Practice Location Address Details
Address
637 5Th Ave
City
Brooklyn
State
New York
Zip
11215-5434
Phone Number
718-499-4260
Fax Number
718-499-6007
person
Provider Business Mailing Address Details
Address
637 5Th Ave
City
Brooklyn
State
New York
Zip
11215-5434
Phone Number
718-499-4260
Fax Number
718-499-6007
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
C0053311 (New York)
Definition
Definition to come...
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