Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | 3125 | NY |
NPI | 1235314717 |
---|---|
Provider Name | Armin Danter |
First Address | Staten Island, NY 10306-4658 |
Second Address | Staten Island, NY 10306-4658 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/01/2008 |
Last Update Date | 03/01/2008 |