Individual
JULIETTA MULLOKANDOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTHALMIC DISPENSER
Contact information
Practice address
2445 ARTHUR AVE, BRONX, NY 10458-6003
(917) 473-6699
(917) 473-6697
Mailing address
10540 62ND RD APT 1M, FOREST HILLS, NY 11375-1119
(646) 920-0062
(917) 473-6697
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
0997-01
NY
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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