Individual
SHELDON RETKINSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9309 63RD DR, REGO PARK, NY 11374-2924
(718) 275-0955
Mailing address
1646 E 29TH ST, BROOKLYN, NY 11229-2546
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV004177
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00724754
—
NY
Enumeration date
10/17/2006
Last updated
07/08/2007
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