Individual
YURY DAVYDOV
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
844 FLATBUSH AVE, BROOKLYN, NY 11226-3189
(718) 941-8585
Mailing address
9820 62ND DR, REGO PARK, NY 11374-1745
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
007111
NY
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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