Dmitriy Israel, OPHTHALMIC DISPENSER

NPI #1659505204 in Hewlett, New York

Provider Information

NPI Number
1659505204
Entity Type
Individual
Name
Dmitriy Israel, OPHTHALMIC DISPENSER
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician/Technologist - Optician
Credential
OPHTHALMIC DISPENSER
Enumeration Date
May 12, 2009
Last Updated
May 12, 2009

Practice Location

Address
1332 PENINSULA BLVD
ZIP Code
11557
Phone
(516) 792-3013

Specialties & Taxonomy Codes

Specialty
Technician/Technologist - OpticianOptician

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