Individual
MR. ROBERT USTAYEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPT
Contact information
Practice address
4309 GREENPOINT AVE, SUNNYSIDE, NY 11104-3004
(718) 391-0003
(718) 391-0003
Mailing address
4309 GREENPOINT AVE, SUNNYSIDE, NY 11104-3004
(718) 391-0003
(718) 391-0003
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
008747-1
NY
Other
Enumeration date
12/25/2007
Last updated
03/11/2011
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