SOUTH SHORE OPTOMETRIC ASSOCIATES, PC
Optometry at Broadway, Amityville, NY

License number
New York TUV005756-1
Category
Optometry
Type
Optometrist
Owner
Name: DAVID LANE LEIBSTEIN O.D.
Title: PRESIDENT
Phone: (631) 264-3937
Address
Address
202 Broadway, Amityville, NY 11701
National Provider ID: 1710936059
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SOUTH SHORE OPTOMETRIC ASSOCIATES, PC

Amityville, NY

Industry:
Optometrist's Office Ret Optical Goods
Registration:
Mar 31, 1998
Phone:
(631) 264-3937 (Phone)
Addresses:
116 Broadway / SUITE 2, Amityville, NY 11701 (Physical)
116 Broadway, Amityville, NY 11701
State ID:
2244631
Business type:
DOMESTIC PROFESSIONAL CORPORATION
President, Ods:
David L Leibstein Od, 116 Broadway STE 2, Amityville, NY 11701 (Physical),Dave Leibstein (President, Od)
Agent:
Jack A Facchin Od,116 Broadway STE 2, Amityville, NY 11701 (Physical)

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