Bahur Yacobov, OPTICIAN
NPI #1629337167 in Kew Gardens, New York
Provider Information
- NPI Number
- 1629337167
- Entity Type
- Individual
- Name
- Bahur Yacobov, OPTICIAN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- OPTICIAN
- Enumeration Date
- May 3, 2012
- Last Updated
- May 11, 2012
Practice Location
- Address
- 8113 LEFFERTS BLVD
- City
- Kew Gardens
- State
- New York
- ZIP Code
- 11415-1727
- Phone
- (718) 849-0847
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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