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1972717544
DAVID WALLACH
JAMAICA, NY
NPI
1972717544
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: NY TUV004825)
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
Dr. DAVID WALLACH OD
16820 JAMAICA AVE
JAMAICA, NY 11432-5216
Phone number: 718-739-5454
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Mailing Address
Dr. DAVID WALLACH OD
6939 173RD ST
FLUSHING, NY 11365-3432
Phone number: 718-739-5454
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