Organization
INESSA YAGUDAYEV OD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
INESSA YAGUDAYEV OD (OWNER)
(347) 605-1828
Entity
Organization
Contact information
Practice address
11156 76TH DR UPPR LOBBY2, FOREST HILLS, NY 11375-7057
(347) 605-1828
(718) 832-5326
Mailing address
2350 WATERS EDGE DRIVE, APT 5I, BAYSIDE, NY 11360
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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