Individual
MICHAEL MAIMRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1291 LEXINGTON AVE, BELLA VISTA OPTICS, NEW YORK, NY 10028-2108
(212) 987-1515
(212) 426-2028
Mailing address
1291 LEXINGTON AVE, BELLA VISTA OPTICS, NEW YORK, NY 10028-2108
(212) 987-1515
(212) 426-2028
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6899
NY
Other
Enumeration date
08/20/2009
Last updated
08/21/2009
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