Organization
P & R OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROMAN MOSTOVOY (LICENSED OPTICIAN)
(347) 587-6565
Entity
Organization
Contact information
Practice address
711 AVENUE U, BROOKLYN, NY 11223-4133
(347) 587-6565
(347) 587-6565
Mailing address
711 AVENUE U, BROOKLYN, NY 11223-4133
(347) 587-6565
(347) 587-6565
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C009086
NY
Other
Enumeration date
02/07/2011
Last updated
02/07/2011
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