Individual
NADEZHDA KALANTAROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
14754 76TH RD, MAILBOX 2 , 2ND FLOOR, FLUSHING, NY 11367-3140
(917) 744-9790
Mailing address
14754 76TH RD, MAILBOX 2 , 2ND FLOOR, FLUSHING, NY 11367-3140
(917) 744-9790
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008522-1
NY
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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