Individual
GALINA NIYAZOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
6373 108TH ST, FOREST HILLS, NY 11375-1607
(718) 896-2020
(718) 459-3490
Mailing address
1305 E 18TH ST APT 4E, BROOKLYN, NY 11230-5330
(718) 431-3945
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008170
NY
Other
Enumeration date
06/27/2014
Last updated
01/04/2019
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