Individual
MARTA FABRYKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
210 E 64TH ST, NEW YORK, NY 10065-7471
(212) 838-9200
Mailing address
210 E 64TH ST, NEW YORK, NY 10065-7471
(212) 838-9200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV007693-1
NY
Other
Enumeration date
06/27/2011
Last updated
07/10/2012
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