MR. Bruce David Mirkin
NPI #1871661132 in Rockville Centre, New York
Provider Information
- NPI Number
- 1871661132
- Entity Type
- Individual
- Name
- MR. Bruce David Mirkin
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Dec 2, 2006
- Last Updated
- Apr 8, 2008
Practice Location
- Address
- 28 S PARK AVE
- City
- Rockville Centre
- State
- New York
- ZIP Code
- 11570-5280
- Phone
- (516) 766-2800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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