Organization
GLAMOUR OPHTHALMIC DISPENSING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIETTA MULLOKANDOVA (OWNER)
(917) 473-6699
Entity
Organization
Contact information
Practice address
2445 ARTHUR AVE, BRONX, NY 10458-6003
(917) 473-6699
(917) 473-6697
Mailing address
2445 ARTHUR AVE, BRONX, NY 10458-6003
(917) 473-6699
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
11/20/2020
Last updated
01/20/2023
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