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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARTIN ALEX MUNDACKAL, OD

Active

MARTIN ALEX MUNDACKAL, OD is a Optometrist healthcare provider located in NEW YORK, New York. NPI 1114816634 is currently active in the NPPES registry. Verify at CMS.

Optometrist · NEW YORK, NY

Registration Details

NPI Number
1114816634
Provider Type
Individual
Gender
Male
NPI Issued
Jun 30, 2025 (1.1084523417715 yrs)
Last Updated
Jul 7, 2025
License
011180 (NY)

Practice Information

Address
4204 BROADWAY
NEW YORK, NY, 100333706
Browse NY providers · Browse ZIP 10033
Phone
9179202636
Primary Specialty
Optometrist
152W00000X

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ANDREA P THAU 1699777946
DR. FRAN LAURIE REINSTEIN O.D. 1962404079
DR. KATHY L. ALLEN AQUILANTE O.D. 1083618920
DR. HAPPY HONG O.D. 1427052984
DR. DAVID YIP O.D. 1336143890
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.