Individual
DR. IVANNA STEPANIVNA GRYNYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TA2800
MD
152W00000X
Optometrist
Primary
TUV009521
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07104158
—
NY
Enumeration date
05/31/2021
Last updated
08/10/2022
Update your record
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