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Organization

TRAVELING OPTOMETRIST P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARKIEL YAKUBOV D.O. (OWNER/PRESIDENT)
(718) 408-8860
Entity
Organization

Contact information

Practice address
694 MYRTLE AVE STE 198, BROOKLYN, NY 11205-3916
(718) 408-8860
(888) 582-9097
Mailing address
694 MYRTLE AVE STE 198, BROOKLYN, NY 11205-3916
(718) 408-8860
(888) 582-9097

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007877
NY

Other

Enumeration date
07/18/2016
Last updated
07/18/2016
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