Individual
LILIYA RAKHIMOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 8TH AVE, 9TH FLOOR, NEW YORK, NY 10018-6507
(212) 729-5344
Mailing address
8028 COOPER AVE, GLENDALE, NY 11385-7711
(718) 416-3937
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
0090911
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11/03/2010
TODAYS APPLICATION DATE
—
Enumeration date
11/03/2010
Last updated
11/09/2010
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