Provider Demographics
NPI:1427124890
Name:FALKOWITZ, CHARLES A (OD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:A
Last Name:FALKOWITZ
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:520 8TH AVE
Mailing Address - Street 2:STE 900
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10018-6507
Mailing Address - Country:US
Mailing Address - Phone:212-729-5300
Mailing Address - Fax:212-279-0498
Practice Address - Street 1:66 COURT ST
Practice Address - Street 2:GVS OF COURT STREET
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4905
Practice Address - Country:US
Practice Address - Phone:718-625-0025
Practice Address - Fax:718-625-7009
Is Sole Proprietor?:No
Enumeration Date:2006-11-28
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYTUV003347-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYTUV00347-1OtherLICENSE