Individual
MRS. ANGELA PILOSOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2903 UNION ST, FLUSHING, NY 11354-2202
(718) 463-3412
Mailing address
9905 59TH AVE APT 3E, CORONA, NY 11368-3825
(917) 929-4105
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008748-1
NY
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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