Individual
IGOR RICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1112 GREEN ACRES MALL, VALLEY STREAM, NY 11581-1536
(516) 825-4900
Mailing address
1112 GREEN ACRES MALL, VALLEY STREAM, NY 11581-1536
(516) 825-4900
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007236
NY
Other
Enumeration date
01/16/2010
Last updated
01/16/2010
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