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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
NY | Eye and Vision Services Providers |
Other Name | Type Code |
---|---|
knickerbocker optical | Doing Business As Name - Organization |
Street Address |
341 KNICKERBOCKER AVE |
City | BROOKLYN |
State | NY |
Zip Code | 11237-3740 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
1013575554 | Miseon Kang | Counselor | Brooklyn Psychotherapy, 148 Wilson Ave, Brooklyn, NY 11237 | 2019-05-30 |
1023598943 | Kathryn Falk | Speech-Language Pathologist | Ps 376 C/o Kathryn Falk, 194 Harman Street, Brooklyn, NY 11237 | 2018-08-20 |
1437648870 | Dawn Tya Chapin | Student in an Organized Health Care Education/Training Program | Wyckoff Heights Medical Center, 374 Stockholm Street, Brooklyn, NY 11237 | 2018-05-01 |
1518410471 | Cameron Hetzler | Dentist | 374 Stockholm St., Brooklyn, NY 11237 | 2016-07-27 |
1215399043 | Rose R Capuz | Skilled Nursing Facility | 122 St Nicholas Avenue, Suite 2, Brooklyn, NY 11237 | 2016-03-22 |
1245695030 | Wyckoff Heights Dental Services, PC | Clinic/Center | Wyckoff Pediatric Care Center - 1411 Myrtle Avenue, Wyckoff Heights Dental Services, PC, Brooklyn, NY 11237 | 2015-12-21 |
1245615442 | Estefany Sanchez Mendez | Pediatrics | 374 Stockholm Street - Faculty Practice Dept, Wyckoff Professional and Medical Services, PC, Brooklyn, NY 11237 | 2015-07-29 |
1033507231 | Macarena Rufin | Counselor | 315 Wyckoff Ave., 6th Floor, Brooklyn, NY 11237 | 2014-12-23 |
1740691021 | Wyckoff Anesthesia and Medical Services, PC | Clinic/Center | 93-95 Wyckoff Ave, Wyckoff Anesthesia and Medical Services, PC, Brooklyn, NY 11237 | 2014-05-08 |
Find all providers in zip 11237 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
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---|---|---|---|---|
1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
1619500964 | Raphael Optical Inc. | Technician/Technologist | 303 Wyckoff Ave, Brooklyn, NY 11237-5805 | 2020-02-14 |
1508405689 | Modern Eyes Optical LLC | Technician/Technologist | 5020 8th Ave, Modern Eyes Optical, Brooklyn, NY 11220 | 2020-01-06 |
1992298558 | Lior Shemtovov | Technician/Technologist | 7217 3rd Ave, Brooklyn, NY 11209-2132 | 2018-06-08 |
1447751714 | Moses Nawlo | Technician/Technologist | 2080 E 9th St, Brooklyn, NY 11223-4101 | 2018-02-22 |
1730605585 | A&s Liberty Inc | Technician/Technologist | 1208 Liberty Ave, Brooklyn, NY 11208-3412 | 2017-08-14 |
1437698644 | Pso Ny Inc | Technician/Technologist | 933 Flatbush Ave, Brooklyn, NY 11226-4017 | 2017-02-21 |
1538606900 | Glasses Are Us | Technician/Technologist | 1010 Avenue L, Brooklyn, NY 11230-4710 | 2017-01-24 |
1467996439 | Aboubacar Sangare | Technician/Technologist | 1108 Rutland Rd, Brooklyn, NY 11212-3646 | 2016-12-11 |
1194185900 | Fabulous Optical Inc | Technician/Technologist | 546 Nostrand Ave, Brooklyn, NY 11216-2013 | 2016-03-07 |
Find all providers in BROOKLYN |
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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.