Provider Demographics
NPI:1386763043
Name:ADRIAN I. EPSTEIN,OD,PC
Entity type:Organization
Organization Name:ADRIAN I. EPSTEIN,OD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:IRA
Authorized Official - Last Name:EPSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:631-928-7575
Mailing Address - Street 1:42 PLYMOUTH AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT SINAI
Mailing Address - State:NY
Mailing Address - Zip Code:11766-2528
Mailing Address - Country:US
Mailing Address - Phone:631-928-7575
Mailing Address - Fax:631-928-6277
Practice Address - Street 1:42 PLYMOUTH AVE
Practice Address - Street 2:
Practice Address - City:MOUNT SINAI
Practice Address - State:NY
Practice Address - Zip Code:11766-2528
Practice Address - Country:US
Practice Address - Phone:631-928-7575
Practice Address - Fax:631-928-6277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYT003255152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty