Organization
MERMAID OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAVEL SHINDER (PRESIDENT)
(718) 265-6066
Entity
Organization
Contact information
Practice address
2819 MERMAID AVE, BROOKLYN, NY 11224-2068
(718) 265-6066
(718) 265-0665
Mailing address
2819 MERMAID AVE, BROOKLYN, NY 11224-2068
(718) 265-6066
(718) 265-0665
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
005465
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02263463
—
NY
Enumeration date
04/04/2007
Last updated
08/03/2007
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