Individual
LYUBOMYRA KOLESNYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 5TH AVE, BROOKLYN, NY 11217-2023
(718) 622-2020
Mailing address
PO BOX 290740, BROOKLYN, NY 11229-0740
(718) 915-0791
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
008716-1
NY
156FX1800X
Optician
Primary
008716-1
NY
Other
Enumeration date
02/15/2008
Last updated
06/03/2008
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