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Individual

MR. IGOR SLONY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
OPTICIAN

Contact information

Practice address
11502 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1902
(718) 835-8000
(718) 845-5025
Mailing address
11502 LIBERTY AVE, SOUTH RICHMOND HILL, NY 11419-1902
(718) 835-8000
(718) 845-5025

Taxonomy

Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
007063-1
NY
156FX1100X
Ophthalmic Technician/Technologist
34TD00331300
NJ

Other

Enumeration date
01/04/2006
Last updated
07/08/2007
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