Dmitriy Israel OPHTHALMIC DISPENSER

NPI 1659505204 - Technician/Technologist - 156FX1800X

NPI Details
NPI 1659505204
Gender Male
Enumeration Date 05/12/2009
Last Updated 05/12/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
1332 PENINSULA BLVD
HEWLETT NY, 11557, US
Phone (516) 792-3013
Fax (516) 792-3013
Business Location
6607 99TH STREET 2A
REGO PARK NY, 11374, US
Phone (516) 792-3012
Fax (516) 792-3013
Toxanomy
Taxonomy Code 156FX1800X
License State New York
License Number 008903
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According to our database, Dmitriy Israel OPHTHALMIC DISPENSER NPI is 1659505204, taxonomy code is 156FX1800X and license number is 008903, license state is located at New York. Dmitriy Israel OPHTHALMIC DISPENSER physically located at 1332 Peninsula Blvd, Hewlett NY, 11557. NPI Number Dmitriy Israel OPHTHALMIC DISPENSER has the Individual type.

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1659505204 NPI number is provided on an as is basis without warranty of any kind. 1659505204 is maintained by the National Plan & Provider Enumeration System. The contents of Dmitriy Israel OPHTHALMIC DISPENSER are for informational purposes only.