349 KNICKERBOCKER INC.


Address: 341 Knickerbocker Ave, Brooklyn, NY 11237-3740
Phone: 7184181268

349 KNICKERBOCKER INC. (NPI# 1376710798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376710798
Entity Type Organization
Organization Name 349 KNICKERBOCKER INC.
Other Organization Name KNICKERBOCKER OPTICAL
Practice Address 341 Knickerbocker Ave
Brooklyn
NY 11237-3740
Mailing Address 783 Evergreen Dr
West Hempstead
NY 11552-3406
Practice Telephone 7184181268
Enumeration Date 2008-05-14
Last Update Date 2008-05-14
Authorized Official Name DAVID FEDER (MANAGER)
Authorized Official Telephone 7184181268
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
NY Eye and Vision Services Providers

Other Provider/Organization Names

Other Name Type Code
knickerbocker optical Doing Business As Name - Organization

Office Location

Street Address 341 KNICKERBOCKER AVE
City BROOKLYN
State NY
Zip Code 11237-3740

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164407243 Fenix Pharmaceutical Services Pharmacy 341 Knickerbocker Ave, Brooklyn, NY 11237-3740 2005-12-12
1073887436 Njbp LLC Pharmacy 341 Knickerbocker Ave, Brooklyn, NY 11237-3740 2012-03-02
1912007063 Phoenix Medical Center Inc Family Medicine 341 Knickerbocker Ave, Brooklyn, NY 11237-3740 2006-09-25

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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Competitor

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City BROOKLYN
Zip Code 11237

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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