Individual
SVELTANA AMINOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
12430 QUEENS BLVD, KEW GARDENS, NY 11415-1501
(718) 261-2344
(718) 261-3356
Mailing address
12430 QUEENS BLVD, KEW GARDENS, NY 11415-1501
(718) 261-2344
(718) 261-3356
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007438
NY
Other
Enumeration date
04/21/2009
Last updated
11/06/2014
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