DR. Ragi Mamistvalov, OD

NPI #1871783472 in Holbrook, New York

Provider Information

NPI Number: 1871783472
Entity Type: Individual
Name: DR. Ragi Mamistvalov, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 30, 2007
Last Updated: Apr 3, 2012

Practice Location

Address: 2707 SADDLE ROCK ROAD
City: Holbrook
State: New York
ZIP Code: 11741
Phone: (631) 319-1293

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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