Individual
MARK NALIBOTSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 2ND AVE, NEW YORK, NY 10003-8334
(212) 228-0651
Mailing address
101 2ND AVE, NEW YORK, NY 10003-8334
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
009536-1
NY
Other
Enumeration date
01/14/2014
Last updated
01/14/2014
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