Individual
IQBAL VENJARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OPHTHALMIC DISPENSER
Contact information
Practice address
9508 AVENUE L, BROOKLYN, NY 11236-4811
(718) 444-3126
(718) 444-3126
Mailing address
9508 AVENUE L, BROOKLYN, NY 11236-4811
(718) 444-3126
(718) 444-3126
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
Primary
005083-1
NY
Other
Enumeration date
07/08/2006
Last updated
11/29/2007
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