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"ABRAHAM-COHEN","JYOTHIS","1528025194","99999999","RAMAPO OPHTHALMOLOGY ASSOCIATES LLP","NA","3 MEDICAL PARK DR","POMONA","Rockland","36087","NY","10970","41.16661","-74.032522","845","3621450","1","2","6","716","999","9","9","2","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","99999999","999999","99999999","999999","99999999","999999","99999999","999999","ENG","999","999","999","999","999","999","0","0","0","0","0","0","0","0","0","0","0","0","0","9999999999","Oxford Health Plans (NY), Inc.: Metro","143","Quarter3 2019"
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"ABRAHAMS","EVAN","1639322027","99999999","GREAT EXPRESSIONS DENTAL CENTER OF NEW JERSEY PC","N/A","711 AVENUE C","BAYONNE","Hudson","34017","NJ","7002","40.67206","-74.11529","201","8434800","1","2","18","800","999","9","9","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","1","0","0","0","0","99999999","999999","99999999","999999","99999999","999999","99999999","999999","ENG","999","999","999","999","999","999","0","0","0","0","0","0","0","0","0","0","0","0","0","9999999999","United Concordia Insurance Company of New York: Advantage 2.0","116","Quarter3 2019"
"ABRAHAMS","EVAN","1639322027","99999999","GREAT EXPRESSIONS DENTAL CENTERS","STE 101","9 BERT CRAWFORD RD","MIDDLETOWN","Orange","36071","NY","10940","41.457252","-74.384554","845","3432192","1","2","18","800","999","9","9","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","1","1","1","1","0","0","0","0","1","0","0","0","0","0","1","1","1","1","0","99999999","999999","99999999","999999","99999999","999999","99999999","999999","ENG","999","999","999","999","999","999","0","0","0","0","0","0","0","0","0","0","0","0","0","9999999999","Empire Healthchoice Assurance, Inc","100","Quarter3 2019"
"ABRAHAMS","EVAN","1639322027","99999999","GREAT EXPRESSIONS DENTAL CENTERS","STE 101","9 BERT CRAWFORD RD","MIDDLETOWN","Orange","36071","NY","10940","41.457252","-74.384554","845","3432192","1","2","18","800","999","9","9","1","1","0","0","0","0","0","0","0","0","0","0","0","0","0","1","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0",,,,,,,,,"ENG","999","999","999","999","999","999","1","0","0","0","0","0","0","0","0","0","0","0","0","9999999999","Oxford Health Plans (NY), Inc.: Metro","143","Quarter3 2019"
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"ABRAHAMS","JEFFREY","1902927361","99999999","Americas Best Contacts & Eyeglasses #5891","NA","1726 HEMPSTEAD TPKE","ELMONT","Nassau","36059","NY","11003","40.707648","-73.704166","516","2095168","1","2","6","716","999","9","9","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","1","0","0","0","0","0","0","0","0","0","0","99999999","999999","99999999","999999","99999999","999999","99999999","999999","ENG","999","999","999","999","999","999","0","0","0","0","0","0","0","0","0","0","0","0","0","9999999999","Provident Life and Casualty Insurance Company: First Look Vision Network","146","Quarter3 2019"
"ABRAHAMS","JEFFREY","1902927361","99999999","Americas Best Contacts & Eyeglasses #5895","NA","700 W MONTAUK HWY","WEST BABYLON","Suffolk","36103","NY","11704","40.684531","-73.348888","631","7920025","1","2","6","716","999","9","9","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","1","0","0","0","0","0","0","0","0","0","0","99999999","999999","99999999","999999","99999999","999999","99999999","999999","ENG","999","999","999","999","999","999","0","0","0","0","0","0","0","0","0","0","0","0","0","9999999999","Provident Life and Casualty Insurance Company: First Look Vision Network","146","Quarter3 2019"
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"ABRAHAMS","JEFFREY","1902927361","99999999","DAVIS VISIONWORKS","NA","4930 MERRICK RD","MASSAPEQUA PARK","Nassau","36059","NY","11762","40.666278","-73.453054","516","7996500","1","2","6","716","999","9","9","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","1","1","1","1","0","0","0","0","1","0","0","0","0","0","1","0","0","0","0","99999999","999999","99999999","999999","99999999","999999","99999999","999999","ENG","999","999","999","999","999","999","0","0","0","0","0","0","0","0","0","0","0","0","0","9999999999","Empire Healthchoice Assurance, Inc","100","Quarter3 2019"
"ABRAHAMS","JEFFREY","1902927361","99999999","DAVIS VISIONWORKS","NA","1498 DEER PARK AVE","NORTH BABYLON","Suffolk","36103","NY","11703","40.748174","-73.324318","631","2426730","1","2","6","716","999","9","9","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","1","1","1","1","0","0","0","0","1","0","0","0","0","0","1","0","0","0","0","99999999","999999","99999999","999999","99999999","999999","99999999","999999","ENG","999","999","999","999","999","999","0","0","0","0","0","0","0","0","0","0","0","0","0","9999999999","Empire Healthchoice Assurance, Inc","100","Quarter3 2019"
"ABRAHAMS","JEFFREY","1902927361","99999999","DAVIS VISIONWORKS","NA","703 W MONTAUK HWY","WEST BABYLON","Suffolk","36103","NY","11704","40.685141","-73.349023","631","3211606","1","2","6","716","999","9","9","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","1","1","1","1","0","0","0","0","1","0","0","0","0","0","1","0","0","0","0","99999999","999999","99999999","999999","99999999","999999","99999999","999999","ENG","999","999","999","999","999","999","0","0","0","0","0","0","0","0","0","0","0","0","0","9999999999","Empire Healthchoice Assurance, Inc","100","Quarter3 2019"
"ABRAHAMS","JEFFREY","1902927361","99999999","Davis Visionworks 1063","NA","1498 DEER PARK AVE","NORTH BABYLON","Suffolk","36103","NY","11703","40.748174","-73.324318","631","2426730","0","2","6","716","999","9","9","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","1","0","0","0","0","0","0","0","0","0","0","99999999","999999","99999999","999999","99999999","999999","99999999","999999","ENG","999","999","999","999","999","999","0","0","0","0","0","0","0","0","0","0","0","0","0","9999999999","Provident Life and Casualty Insurance Company: First Look Vision Network","146","Quarter3 2019"
"ABRAHAMS","JEFFREY","1902927361","99999999","EMPIRE VISION CENTER","UNIT 9","350 WALT WHITMAN RD","HUNTINGTON STATION","Suffolk","36103","NY","11746","40.818179","-73.411084","631","5490272","1","2","6","716","999","9","9","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","1","1","1","1","0","0","0","0","1","0","0","0","0","0","1","0","0","0","0","99999999","999999","99999999","999999","99999999","999999","99999999","999999","ENG","999","999","999","999","999","999","0","0","0","0","0","0","0","0","0","0","0","0","0","9999999999","Empire Healthchoice Assurance, Inc","100","Quarter3 2019"
"ABRAHAMS","JEFFREY","1902927361","99999999","EMPIRE VISION CENTERS","NA","1004 OLD COUNTRY RD","PLAINVIEW","Nassau","36059","NY","11803","40.775629","-73.473592","516","6811161","1","2","6","716","999","9","9","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","1","1","1","1","0","0","0","0","1","0","0","0","0","0","1","0","0","0","0","99999999","999999","99999999","999999","99999999","999999","99999999","999999","ENG","999","999","999","999","999","999","0","0","0","0","0","0","0","0","0","0","0","0","0","9999999999","Empire Healthchoice Assurance, Inc","100","Quarter3 2019"
"ABRAHAMS","JEFFREY","1902927361","99999999","Hempstead Tnpk","NA","1726 HEMPSTEAD TPKE","ELMONT","Nassau","36059","NY","11003","40.707648","-73.704166","516","2095168","1","2","6","716","999","9","9","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","99999999","999999","99999999","999999","99999999","999999","99999999","999999","ENG","999","999","999","999","999","999","0","0","0","0","0","0","0","0","0","0","0","0","0","9999999999","Nippon Life Insurance Company of America: Aetna Signature Administrators (ASA) PPO Network","109","Quarter3 2019"
"ABRAHAMS","JEFFREY","1902927361","99999999","Montauk Highway","NA","700 W MONTAUK HWY","WEST BABYLON","Suffolk","36103","NY","11704","40.684531","-73.348888","631","7920025","1","2","6","716","999","9","9","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","99999999","999999","99999999","999999","99999999","999999","99999999","999999","ENG","999","999","999","999","999","999","0","0","0","0","0","0","0","0","0","0","0","0","0","9999999999","Nippon Life Insurance Company of America: Aetna Signature Administrators (ASA) PPO Network","109","Quarter3 2019"
"ABRAHAMS","JEFFREY","1902927361","99999999","Visionworks #1220","Unit FSU4","1701 SUNRISE HWY","BAY SHORE","Suffolk","36103","NY","11706","40.739623","-73.246293","631","6656309","0","2","6","716","999","9","9","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","1","0","0","0","0","0","0","0","0","0","0","99999999","999999","99999999","999999","99999999","999999","99999999","999999","ENG","999","999","999","999","999","999","0","0","0","0","0","0","0","0","0","0","0","0","0","9999999999","Provident Life and Casualty Insurance Company: First Look Vision Network","146","Quarter3 2019"
"ABRAHAMS","JEFFREY","1902927361","99999999","Visionworks #1286","Unit 9","350 WALT WHITMAN RD","HUNTINGTON STATION","Suffolk","36103","NY","11746","40.818179","-73.411084","631","5490272","0","2","6","716","999","9","9","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","1","0","0","0","0","0","0","0","0","0","0","99999999","999999","99999999","999999","99999999","999999","99999999","999999","ENG","999","999","999","999","999","999","0","0","0","0","0","0","0","0","0","0","0","0","0","9999999999","Provident Life and Casualty Insurance Company: First Look Vision Network","146","Quarter3 2019"
"ABRAHAMS","JEFFREY","1902927361","99999999","Visionworks #1288","NA","222 AIRPORT PLAZA BLVD","FARMINGDALE","Suffolk","36103","NY","11735","40.739373","-73.420016","631","6945406","0","2","6","716","999","9","9","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","1","0","0","0","0","0","0","0","0","0","0","99999999","999999","99999999","999999","99999999","999999","99999999","999999","ENG","999","999","999","999","999","999","0","0","0","0","0","0","0","0","0","0","0","0","0","9999999999","Provident Life and Casualty Insurance Company: First Look Vision Network","146","Quarter3 2019"
"ABRAHAMS","JEFFREY","1902927361","3286371","AMERICA'S BEST #5885","NA","8016 COOPER AVE","RIDGEWOOD","Queens","36081","NY","11385","40.709179","-73.869867","718","6853981","0","2","6","716","999","9","9","1","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","0","1","0","0","0","0","0","0","0","0","0","0","99999999","999999","99999999","999999","99999999","999999","99999999","999999","ENG","ENG","SPA","999","999","999","999","0","0","0","0","0","0","0","0","0","0","0","0","0","9999999999","Fidelity Security Life Insurance Company of New York: NVA","104","Quarter3 2019"