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1093878670
MARK JOEL BASHOVER
VALLEY STREAM, NY
NPI
1093878670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: NY tuv003332-1)
Enumeration Date
2006-12-18
Last Update Date
2014-08-22
Business Address
Dr. MARK JOEL BASHOVER O.D.
845 NEWBURG AVE
VALLEY STREAM, NY 11581-3107
Phone number: 516-791-8254
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Mailing Address
Dr. MARK JOEL BASHOVER O.D.
845 NEWBURG AVE
VALLEY STREAM, NY 11581-3107
Phone number: 516-791-8254
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