Individual provider · Type 1 NPI

Lacey Dustin Bedoy, O.D

Specialist · New York, NY

NPI number 1629208525 Active

Practice location

454 Malcolm X Blvd
New York, NY 10037-3320

Call (212) 368-2020 Map

Fax (201) 797-5809

Specialties and licenses

TaxonomyCodeLicense
Optometrist 152W00000XTUV007642-1 (NY)
Specialist Primary 174400000X27OAOO620000 (NJ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1629208525

Lacey Dustin Bedoy, O.D's National Provider Identifier is 1629208525, issued on Jul 26, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New York, NY. The record was last updated on Nov 16, 2018.