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Organization
VIZON NY LLC
Active
Organization
VIZON NY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGEY KUZNETSOV (PRESIDENT)
(646) 801-2433
Entity
Organization
Contact information
Practice address
8710 37TH AVE, JACKSON HEIGHTS, NY 11372-7704
(646) 801-2433
Mailing address
8710 37TH AVE, JACKSON HEIGHTS, NY 11372-7704
(646) 801-2433
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV003199
NY
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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