Individual
DR. MICHELLE BANGIYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4504 46TH ST, SUNNYSIDE, NY 11104-1702
(718) 784-2580
Mailing address
9876 QUEENS BLVD APT 2H, REGO PARK, NY 11374-4333
(917) 601-2442
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009497-01
NY
Other
Enumeration date
12/19/2021
Last updated
12/19/2021
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