Individual
MIKHAIL BANGIYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
43 E 167TH ST, BRONX, NY 10452-8206
(718) 992-2128
Mailing address
43 E 167TH ST, BRONX, NY 10452-8206
(718) 992-2128
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009174
NY
Other
Enumeration date
06/04/2012
Last updated
07/07/2021
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