Individual
AVRAHAM C VIZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
2922 AVENUE L, BROOKLYN, NY 11210-4639
(718) 758-2020
Mailing address
2922 AVENUE L, BROOKLYN, NY 11210-4639
(718) 758-2020
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
C-007816
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02098539
—
NY
05
—
02098557
—
NY
Enumeration date
11/14/2006
Last updated
04/12/2021
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