Individual
MR. VALERY NAYMAGON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPHTHALMIC DISPENSER
Contact information
Practice address
240 WILLIAMSON ST, SUITE 505, ELIZABETH, NJ 07202-3674
(908) 289-0250
(908) 289-3713
Mailing address
3108 NOSTRAND AVE, BROOKLYN, NY 11229-2601
(718) 594-2793
(908) 289-3713
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
31TD00337700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31TD00337700
OPHTHALMIC DISPENSER #
NJ
Enumeration date
08/20/2006
Last updated
07/08/2007
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