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Organization
TRAVELING OPTOMETRIST P.C.
Active
Organization
TRAVELING OPTOMETRIST P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARKIEL YAKUBOV D.O. (OWNER/PRESIDENT)
(718) 408-8860
Entity
Organization
Contact information
Practice address
694 MYRTLE AVE STE 198, BROOKLYN, NY 11205-3916
(718) 408-8860
(888) 582-9097
Mailing address
694 MYRTLE AVE STE 198, BROOKLYN, NY 11205-3916
(718) 408-8860
(888) 582-9097
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007877
NY
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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